Individual provider Active NPI

Carey Ann Susi, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1578813820
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.330169-COA1 Issued in OH
Practice address
300 W 10TH Ave FL 1
Columbus, OH 43210-1280
Phone
(614) 293-5066
Fax
(614) 293-9449
NPI assigned
Sep 13, 2012
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.330169-COA1 OH Primary

Addresses

Primary practice location

300 W 10TH Ave FL 1
Columbus, OH 43210-1280

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3693

Other practice location 1

4258 Golden Meadows Ct
Grove City, OH 43123-9426
Phone (614) 871-0012

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
I20121018000712 OH Practitioner - Nurse Practitioner 1254581796 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.330169-COA1OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Nov 5, 2012 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 18, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 5, 2012 Accepting new patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Dec 15, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

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

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

Interoperability endpoints

  • Direct secure messaging: csusi4258895@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1578813820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3693",
            "fax_number": "614-688-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-293-5066",
            "fax_number": "614-293-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4258 Golden Meadows Ct",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431239426",
            "country_code": "US",
            "telephone_number": "614-871-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSI",
        "first_name": "CAREY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.330169-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.