Individual provider Active NPI

Theresa Erzuah-Cudjoe, APRN-CNP

  • Nurse Practitioner
  • Grove City, OH
National Provider Identifier
1184865487
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18853 Issued in OH
Practice address
1957 Ohio Dr
Grove City, OH 43123-4835
Phone
(614) 366-5671
Fax
(614) 688-7581
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 F0216140 OH
Nurse Practitioner 363L00000X APRN.CNP.18853 OH Primary

Addresses

Primary practice location

1957 Ohio Dr
Grove City, OH 43123-4835

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-5671

Other practice location 1

3424 S High St
Columbus, OH 43207-3625
Phone (614) 491-8137 ext. 8221

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
I20160829002800 OH Practitioner - Nurse Practitioner 4082909098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
99.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18853OHMDNurse Practitioner
F0216140OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Mar 15, 2023 Accepting new patients
Ayesu Health Plus PC CurrentSince Mar 18, 2024 Accepting new patients
Osup Community Outreach LLC CurrentSince Nov 1, 2024 Accepting new patients
Summit Medical Group, PLLC PastSince Mar 22, 2021 Accepting new patients

Locations

1570 Cleveland Ave
Columbus, OH 43211
Phone (614) 278-2566

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1957 Ohio Dr
Grove City, OH 43123
Phone (614) 366-5671

1621 N Memorial Dr
Lancaster, OH 43130
Phone (740) 653-1354

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • Direct secure messaging: terzuahcudjoe1528804@direct.osumc.edu
  • Direct secure messaging: terzuahcudjoe@landmarkhealth-direct.org
  • Direct secure messaging: theresa.erzuahcudjoe@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1184865487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-366-5671",
            "fax_number": "614-688-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 OHIO DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234835",
            "telephone_number": "614-366-5671",
            "fax_number": "614-688-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3424 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432073625",
            "country_code": "US",
            "telephone_number": "614-491-8137 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERZUAH-CUDJOE",
        "first_name": "THERESA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F0216140",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.