Individual provider Active NPI

Carrie A Kiepert, APRN,FNP-BC

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1366604779
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10066 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jun 26, 2008
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024089 FL
Family Nurse Practitioner 363LF0000X 71017534A IN
Family Nurse Practitioner 363LF0000X 10066 OH Primary
Family Nurse Practitioner 363LF0000X 321420 AZ
Family Nurse Practitioner 363LF0000X 209030963 IL
Family Nurse Practitioner 363LF0000X 10049234 OR
Family Nurse Practitioner 363LF0000X 0024195125 VA
Family Nurse Practitioner 363LF0000X 3-002545 AL
Family Nurse Practitioner 363LF0000X 1213502 TX
Family Nurse Practitioner 363LF0000X 2025054160 MO
Family Nurse Practitioner 363LF0000X 40798 TN
Family Nurse Practitioner 363LF0000X 907961 MS
Family Nurse Practitioner 363LF0000X C-APN.0104374-C-NP CO
Family Nurse Practitioner 363LF0000X 4050712 KY
Family Nurse Practitioner 363LF0000X SP032628 PA

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

1326 E Perkins Ave
Sandusky, OH 44870-5025
Phone (419) 625-0654

Other identifiers 2

IdentifierTypeStateIssuer
10066OtherOHSTATE LICENSE
2870184MedicaidOH

Other names 1

  • Carrie Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20080915000069 OH Practitioner - Nurse Practitioner 6103992250 Reassigns benefits to 4 organizations
I20230510002138 FL Practitioner - Nurse Practitioner 6103992250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

1326 E Perkins Ave
Sandusky, OH 44870-5025
Phone (419) 625-0654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002545ALMDFamily Nurse Practitioner
321420AZMDFamily Nurse Practitioner
C-APN.0104374-C-NPCOMDFamily Nurse Practitioner
209030963ILMDFamily Nurse Practitioner
71017534AINMDFamily Nurse Practitioner
4050712KYMDFamily Nurse Practitioner
2025054160MOMDFamily Nurse Practitioner
907961MSMDFamily Nurse Practitioner
10066OHMDFamily Nurse Practitioner
10049234ORMDFamily Nurse Practitioner
SP032628PAMDFamily Nurse Practitioner
40798TNMDFamily Nurse Practitioner
1213502TXMDFamily Nurse Practitioner
0024195125VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Apr 20, 2010 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Apr 20, 2023 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 7, 2015 Accepting new patients
Devoted Medical Group Inc CurrentSince Nov 28, 2022 Accepting new patients
ER-Doc Inc CurrentSince Oct 7, 2023 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Apr 20, 2010 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (813) 498-0260

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1326 E Perkins Ave
Sandusky, OH 44870
Phone (419) 625-0654

2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

419 E Perkins Ave
Sandusky, OH 44870
Phone (419) 557-7455

Interoperability endpoints

  • Direct secure messaging: ckiepert20375@nomshealthcare.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1366604779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 E Perkins Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705025",
            "country_code": "US",
            "telephone_number": "419-625-0654",
            "fax_number": "419-621-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEPERT",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024089",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017534A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10066",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "321420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10049234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1213502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025054160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907961",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0104374-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4050712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10066",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2870184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "COLLINS",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.