Individual provider Active NPI

Virginia C Kruger, CNP

  • Adult Health Nurse Practitioner
  • Streetsboro, OH
National Provider Identifier
1740545235
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13439 Issued in OH
Practice address
9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Phone
(330) 626-1113
Fax
(330) 626-1133
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13439 OH Primary

Addresses

Primary practice location

9293 State Route 43
Suite B
Streetsboro, OH 44241-5374

Mailing address

9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Phone (330) 626-1113

Other identifiers 1

IdentifierTypeStateIssuer
0103818MedicaidOH

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
I20140628000111 OH Practitioner - Nurse Practitioner 6204051576 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2111

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13439OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. CurrentSince Jan 3, 2017 Accepting new patients
Summa Health Outpatient Services LLC CurrentSince Apr 18, 2022 Accepting new patients
Summa Physicians LLC CurrentSince Mar 6, 2025 Accepting new patients
Summa Physicians LLC Current Accepting new patients
4M Hospitalist Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Summa Physicians LLC CurrentSince Mar 6, 2025 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

Dept 781358
Detroit, MI 48278

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1260 Independence Ave
Akron, OH 44310
Phone (234) 312-2111

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

3825 Fishcreek Rd
Ste 110
Stow, OH 44224
Phone (234) 867-6964

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1740545235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9293 STATE ROUTE 43",
            "address_2": "SUITE B",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415374",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9293 STATE ROUTE 43",
            "address_2": "SUITE B",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415374",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "VIRGINIA",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "13439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.