Individual provider Active NPI

Jessica Brooke Suber, MSN, APRN, FNP-C

  • Pediatric Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1548600950
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.0030763 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-2000
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28997 TN
Family Nurse Practitioner 363LF0000X APRN.CNP.0030763 OH
Family Nurse Practitioner 363LF0000X 18324 SC
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.0030763 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-2000

Other practice location 2

1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-2000

Other practice location 3

655 E Livingston Ave
Columbus, OH 43205-2618
Phone (614) 722-2000

Other identifiers 2

IdentifierTypeStateIssuer
0436496MedicaidOH
Q069104MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220727000740 OH Practitioner - Nurse Practitioner 6709017692 Reassigns benefits to 4 organizations
I20250715004066 PA Practitioner - Nurse Practitioner 6709017692 Reassigns benefits to 1 organization
I20251017001932 DC Practitioner - Nurse Practitioner 6709017692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Medical Care Group PAGroup PAC ID 0345769253, 42 clinicians

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (888) 803-3370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2022 Accepting new patients
Marion Area Physicians LLC CurrentSince Jul 1, 2022 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2022 Accepting new patients
Circle Medical Care Group PA CurrentSince Apr 19, 2025 Accepting new patients
Pediatric Academic Association, Inc. Family CurrentSince Jun 26, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

655 E Livingston Ave
Columbus, OH 43205
Phone (614) 722-8200

Dept L3652
Columbus, OH 43260

Dept L289
Columbus, OH 43260

895 W 3rd Ave
Columbus, OH 43212
Phone (614) 437-0278

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1130 Independence Ave
Marion, OH 43302
Phone (740) 383-8591

3363 Tremont Rd
Ste 220
Upper Arlington, OH 43221
Phone (614) 788-0083

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1548600950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2599 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432324964",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293502",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052618",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBER",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18324",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0030763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436496",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069104",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.