Individual provider Active NPI

Susan Marie Kasperczyk, CNP

  • Family Nurse Practitioner
  • Amelia, OH
National Provider Identifier
1700150216
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16949 Issued in OH
Practice address
262 W Main St
Amelia, OH 45102-1309
Phone
(513) 718-2260
NPI assigned
Mar 1, 2012
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 APRN.CNP.16949 OH Primary

Addresses

Primary practice location

262 W Main St
Amelia, OH 45102-1309

Mailing address

262 W Main St
Amelia, OH 45102-1309
Phone (513) 718-2260

Other identifiers 1

IdentifierTypeStateIssuer
0118677MedicaidOH

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
I20150317002069 OH Practitioner - Nurse Practitioner 8123345824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

11390 Montgomery Rd
Cincinnati, OH 45249-2313
Phone (513) 618-4042

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154-8350
Phone (937) 444-6995

262 W Main St
Amelia, OH 45102-1309
Phone (513) 718-2260

3760 Paxton Ave
Cincinnati, OH 45209-2306
Phone (513) 488-8077

4613 Marburg Ave
Cincinnati, OH 45209-5005
Phone (513) 782-5060

5080 Delhi Ave
Cincinnati, OH 45238-5343
Phone (513) 347-1925

7580 Beechmont Ave
Cincinnati, OH 45255-4221
Phone (513) 578-6093

8000 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone (513) 682-8045

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: susan.kasperczyk@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1700150216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 W MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021309",
            "telephone_number": "513-718-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 W MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021309",
            "telephone_number": "513-718-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPERCZYK",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

Verify at the official NPI Registry.