Susan M Wiechelman, RN, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-07424 Issued in OH

Practice address

88 Center Rd
Suite 280
Bedford, OH 44146-2700

Phone

(440) 232-5215

Fax

(440) 786-8554

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment NPD
• Infinity Health Care, LLC

  • Nursing Care Agency
  • Westlake, OH
  • NPI 1902851587
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1396780938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17722 CRESTLAND RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191365",
            "telephone_number": "216-486-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "SUITE 280",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462700",
            "telephone_number": "440-232-5215",
            "fax_number": "440-786-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHELMAN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-07424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Wells
• Alfonzo Aermon White
• Laquan White
• Reanna White
• Terrance White
• Gwendolyn Wiles
• Philip J Wiles
• Clarence Williams Jr.
• Lakrisha Ella Williams
• Sharonda Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.

Verify at the official NPI Registry.