Active NPI
Carrie A Kiepert, APRN,FNP-BC
- Family Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10066
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10066 | Other | OH | STATE LICENSE |
| 2870184 | Medicaid | OH |
Other names 1
- Carrie Collins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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,LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3-002545 | AL | MD | Family Nurse Practitioner |
| 321420 | AZ | MD | Family Nurse Practitioner |
| C-APN.0104374-C-NP | CO | MD | Family Nurse Practitioner |
| 209030963 | IL | MD | Family Nurse Practitioner |
| 71017534A | IN | MD | Family Nurse Practitioner |
| 4050712 | KY | MD | Family Nurse Practitioner |
| 2025054160 | MO | MD | Family Nurse Practitioner |
| 907961 | MS | MD | Family Nurse Practitioner |
| 10066 | OH | MD | Family Nurse Practitioner |
| 10049234 | OR | MD | Family Nurse Practitioner |
| SP032628 | PA | MD | Family Nurse Practitioner |
| 40798 | TN | MD | Family Nurse Practitioner |
| 1213502 | TX | MD | Family Nurse Practitioner |
| 0024195125 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists LLC | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current | Accepting new patients | |
| Devoted Medical Group Inc | Current | Accepting new patients | |
| ER-Doc Inc | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Beachwood, OH
- NPI 1609474527
-
- Emergency Medicine Physician
- Sandusky, OH
- NPI 1922092014
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
-
dba NOMS Urgent Care
- Urgent Care Clinic/Center
- Sandusky, OH
- NPI 1609247949
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
-
dba NOMS Healthcare
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
-
dba NOMS Premium Imaging Center
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1285392936
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
dba Firelands Counseling & Recovery Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.