Individual provider Active NPI

Sue A Krieg, FNP-C

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1104126978
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003439A Issued in IN
Practice address
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone
(812) 858-2100
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003439A IN
Nurse Practitioner 363L00000X 71003439A IN Primary

Addresses

Primary practice location

4011 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815

Other names 1

  • Sue A Kelle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110111000674 IN Practitioner - Nurse Practitioner 1658322938 Reassigns benefits to 1 organization
I20230920001186 IL Practitioner - Nurse Practitioner 1658322938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003439AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Jul 3, 2023 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Sep 11, 2023 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Jul 3, 2023 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Sep 11, 2023 Accepting new patients
Family Medicine Associates-Southern Indiana , P.C. Past Accepting new patients

Locations

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1104126978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003439A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "KELLE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.