Susan Elizabeth Erbaugh, ACNPC-AG

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0036879 Issued in OH

Practice address

100 W Main St
Springfield, OH 45502-1312

Phone

(937) 521-3900

NPI assigned

Jun 29, 2024

Last updated

Jun 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Ohio Valley Medical Group LLCGroup PAC ID 4385025451, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDEFDD/Endpoint/BDEFDD

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.

• Ohio Valley Medical Group, LLC

  dba Ohio Valley Ear, Nose & Throat

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1114664836

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• Community Mercy Health Partners

  dba Mercy Health - Springfield Regional Medical Center

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Lab Services, Springfield

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1235974361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 UTICA DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454392547",
            "telephone_number": "937-520-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021312",
            "telephone_number": "937-521-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBAUGH",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie A Engle, APRN-CNP
• Derek Engler
• Enlightened Mind Counseling & Consultation, LLC
• Annette Enlow, RPH, PHARMD
• Epic Home Health Care LLC
• Jessica Erdelyi
• Brent Eresman
• Peter A Erhardt, MD
• Eric T. Beistline, D.C., LTD (Beistline Chiropractic)
• Thomas William Ericksen, M.D.

• Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.