Individual provider Active NPI

Nichole Carmella Sutherland, CNP, APRN

  • Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1457217739
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0041096 Issued in OH
Practice address
1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone
(419) 625-4900
NPI assigned
Dec 30, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0041096 OH Primary

Addresses

Primary practice location

1401 Bone Creek Dr
Sandusky, OH 44870-7267

Mailing address

1451 County Road 302
Bellevue, OH 44811-9024
Phone (419) 618-6454

Other practice location 1

1400 W Main St
Bellevue, OH 44811-9088
Phone (419) 483-4040

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
I20260331000303 OH Practitioner - Nurse Practitioner 0941785786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 Bone Creek Dr
Sandusky, OH 44870-7267

1912 Hayes Ave
Suite 1
Sandusky, OH 44870-4788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0041096OHMDNurse Practitioner

Organizations & group practices 1

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 7

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": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1457217739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 COUNTY ROAD 302",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119024",
            "telephone_number": "419-618-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707267",
            "telephone_number": "419-625-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "OH",
            "postal_code": "448119088",
            "country_code": "US",
            "telephone_number": "419-483-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "NICHOLE",
        "middle_name": "CARMELLA",
        "name_prefix": "Mrs.",
        "credential": "CNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0041096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.