Susan Strack
Individual provider Active NPI Family Nurse Practitioner · Mount Vernon, OH
NPI 1669065264 · NPPES record last updated Feb 15, 2021
Key facts
- NPI
- 1669065264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 025386 (OH)
- Practice address
- 855 Coshocton Ave Ste H-17
Mount Vernon, OH 43050-1975 - Phone
- (740) 224-3922
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Knox County General Health District
Knox Community Hospital
Incare Health Solutions LLC
Practice addresses (Care Compare)
11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084
Phone (740) 399-8001
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
1341 S Trimble Rd
Mansfield, OH 44907-2605
Phone (419) 775-7807
1490 Coshocton
Suite B
Mount Vernon, OH 43050-6099
Phone (740) 393-9111
1490 Coshocton Ave
Mount Vernon, OH 43050-6099
Phone (740) 393-9111
Hospital & facility affiliations
- Knox Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210304002431 | OH | Practitioner - Nurse Practitioner | 9234545898 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025386 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox County General Health District | Current | Accepting new patients | |
| Knox County General Health District | Current |
Accepting new patients | |
| Quick Med Urgent Care LLC | Current |
Accepting new patients | |
| Planned Parenthood of Greater Ohio | Current |
Accepting new patients | |
| Planned Parenthood of Greater Ohio | Current | Accepting new patients | |
| Knox County General Health District | Current |
Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current |
Accepting new patients |
| Planned Parenthood of Greater Ohio | Current |
Accepting new patients | |
| Incare Health Solutions LLC | Current |
Accepting new patients | |
| Knox County General Health District | Past | Accepting new patients | |
| Knox Community Hospital | Past | Accepting new patients |
Locations
25350 Rockside Rd
Ste 100
Cleveland, OH 44146
Phone (216) 961-8804
384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080
1341 S Trimble Rd
Mansfield, OH 44907
Phone (419) 775-7807
211 Edgefield Blvd
Marion, OH 43302
11660 Upper Gilchrist Rd
Mount Vernon, OH 43050
Phone (740) 392-2200
207 W High St
Ste A
Mount Vernon, OH 43050
206 S Mulberry St
Ste C
Mount Vernon, OH 43050
Phone (740) 399-3008
207 W High St
Mount Vernon, OH 43050
Phone (740) 392-0911
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
2564 Maple Ave
Zanesville, OH 43701
Phone (740) 303-2250
Interoperability endpoints
- https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 025386 | OH | Yes |
Addresses
Primary practice location
855 Coshocton Ave Ste H-17
Mount Vernon, OH 43050-1975
Mailing address
507 E Chestnut St Apt 1
Mount Vernon, OH 43050-2762
Phone (740) 501-2318
Other providers in Mount Vernon, OH
- Elisha Stickle
- Rebecca Stilson
- Alexis M Stimpert
- Joshua B Storrer
- Alexander James Stoycheff
- Hope Straight
- Morgan Straits
- Stephanie Lynn Strausbaugh
- Alexis Lynn Stringfellow
- Pamela S Studer
All providers in Mount Vernon, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.