Individual provider Active NPI

Vickie L Klutts, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Akron, OH
National Provider Identifier
1154552545
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN.CNP.12574 Issued in OH
Practice address
1622 E Turkeyfoot Lake Rd
Ste. 301
Akron, OH 44312-5277
Phone
(330) 344-8565
Fax
(330) 896-7085
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN.CNP.12574 OH Primary

Addresses

Primary practice location

1622 E Turkeyfoot Lake Rd
Ste. 301
Akron, OH 44312-5277

Mailing address

1622 E Turkeyfoot Lake Rd
Ste. 301
Akron, OH 44312-5277
Phone (330) 344-8565

Other identifiers 4

IdentifierTypeStateIssuer
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
0079091MedicaidOH
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000207 OH Practitioner - Nurse Practitioner 8628115888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

1622 E Turkey Foot Lake Rd
Suite 301
Akron, OH 44312-5277
Phone (330) 344-8565

224 W Exchange St
Suite 160
Akron, OH 44302-1705
Phone (330) 344-6505

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Medina Hospital Hospital, Medina, OH, CCN 360091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jun 20, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group CurrentSince Jun 20, 2016 Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Partners Physician Group Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients
Exodus Women'S Center, Inc. Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1622 E Turkeyfoot Lake Rd
Ste 301
Green, OH 44312
Phone (330) 344-8565

4300 Allen Rd
Ste 400
Stow, OH 44224
Phone (330) 344-8565

Interoperability endpoints

  • Direct secure messaging: vklutts377059@direct.ccf.org

Organizations & group practices 15

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.

View all 15

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1154552545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "STE. 301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "STE. 301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTTS",
        "first_name": "VICKIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "APRN.CNP.12574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079091",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.