Active NPI
Jessica Brooke Suber, MSN, APRN, FNP-C
- Pediatric Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.0030763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0436496 | Medicaid | OH | |
| Q069104 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Ohiohealth Urgent Care LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Circle Medical Care Group PA | Current | Accepting new patients | |
| Pediatric Academic Association, Inc. | Family | Current | 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
- 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.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.