Mary Kathleen Krueger

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.023164 Issued in OH

Practice address

6975 W 130TH St
Parma Heights, OH 44130-7821

Phone

(440) 888-7487

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CDC Physicians Organization, Inc.

  • Nephrology Physician
  • Shaker Heights, OH
  • NPI 1073682209

  Single Specialty

  Medicare reassignment NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Single Specialty

  Medicare reassignment NPD
• Comprehensive Pain Care Center, Inc

  • Specialist
  • Lorain, OH
  • NPI 1124095112

  Single Specialty

  Medicare reassignment NPD
• Hni Medical Services of Ohio, LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1356815922

  Single Specialty

  Medicare reassignment NPD
• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1871077032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 9TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131031",
            "telephone_number": "440-420-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307821",
            "telephone_number": "440-888-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN..CNP.023164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasha Knowles, LPN
• Joseph John Koch
• Koinonia Partners Unlimited LLC (Ridgewood Home)
• Katherine Mary Kratz, PSY.D.
• Nellie Krawczynski, LISW
• Kimberly Ann Krumhansl, OTR/L
• Sherrie Jean Krumheuer, OT
• KSK Health Services LLC
• Denise Ellen Kulas, PTA
• Jill Kwan

• Family Nurse Practitioner in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.