Active NPI
Gretta Nuss
- Family Nurse Practitioner
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025657
- Practice address
- 1362 E Stroop Rd
Kettering, OH 45429-4926 - Phone
- (937) 643-0015
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025657 | OH | Primary |
Addresses
Primary practice location
1362 E Stroop Rd
Kettering, OH 45429-4926
Mailing address
215 S Allison Ave
Xenia, OH 45385-3694
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025657 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Specialists, LLC | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| Morrison and Ahmad, MD's, Inc. | Single Specialty | Past | Accepting new patients |
Locations
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
1362 E Stroop Rd
Kettering, OH 45429
Phone (937) 376-2571
215 S Allison Ave
Xenia, OH 45385
Phone (937) 352-6490
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1184265324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S ALLISON AVE",
"city": "XENIA",
"state": "OH",
"postal_code": "453853694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1362 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294926",
"telephone_number": "937-643-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSS",
"first_name": "GRETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.