Individual provider Active NPI

Susan Rita Ciufo, CNP/APRN

  • Gerontology Nurse Practitioner
  • Ashtabula, OH
National Provider Identifier
1568817948
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.15880 Issued in OH
Practice address
2210 S Ridge Rd E
Ashtabula, OH 44004-4459
Phone
(833) 510-4357
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.15880 OH Primary

Addresses

Primary practice location

2210 S Ridge Rd E
Ashtabula, OH 44004-4459

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

38886 Mentor Ave
Willoughby, OH 44094-7875
Phone (833) 510-4357

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
I20160617000852 OH Practitioner - Nurse Practitioner 7719278985 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
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

2210 S Ridge Rd E
Ashtabula, OH 44004-4459
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15880OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Feb 15, 2024 Accepting new patients
Brightview LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

2210 S Ridge Rd E
Ashtabula, OH 44004
Phone (216) 998-1329

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

38886 Mentor Ave
Willoughby, OH 44094
Phone (440) 283-3337

Interoperability endpoints

  • Direct secure messaging: susan.ciufo@gmaconsultants.medicity.net

Organizations & group practices 2

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1568817948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S RIDGE RD E",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044459",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38886 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947875",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIUFO",
        "first_name": "SUSAN",
        "middle_name": "RITA",
        "credential": "CNP/APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.15880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.