Active NPI
Virginia C Kruger, CNP
- Adult Health Nurse Practitioner
- Streetsboro, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13439
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103818 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13439 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Medical Services, Inc. | Current | Accepting new patients | |
| Summa Health Outpatient Services LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| 4M Hospitalist Services, LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
-
- Plastic Surgery Physician
- Wadsworth, OH
- NPI 1619212305
-
- Vascular Surgery Physician
- Akron, OH
- NPI 1891743332
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.