Susan M Krebs, CNP
Individual provider Active NPI Family Nurse Practitioner · Willard, OH
NPI 1871934604 · NPPES record last updated Oct 12, 2024
Key facts
- NPI
- 1871934604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.14720 (OH)
- Practice address
- 1100 Neal Zick Rd
Willard, OH 44890-9287 - Phone
- (419) 933-2811
- Fax
- (419) 933-4502
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians-North LLC
Practice addresses (Care Compare)
202 W Mansfield St
New Washington, OH 44854-9532
Phone (419) 492-1300
2222 Cherry St
Suite 2300
Toledo, OH 43608-2675
Phone (419) 251-8983
Hospital & facility affiliations
- Mercy Health Home Care by Compassus
- Mercy Health - Willard Hospital
- Mercy Health - Tiffin Hospital
- Mercy St Vincent Medical Center
- Bucyrus Community Hospital
- Fisher-Titus 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 |
|---|---|---|---|---|
| I20130913000138 | OH | Practitioner - Nurse Practitioner | 3072757004 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.14720 | OH | MD | Family Nurse Practitioner |
| COA. 14720-NP | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current |
Accepting new patients | |
| Mercy Health - Tiffin Hospital LLC | Current |
Accepting new patients | |
| Mercy Health - Tiffin Hospital LLC | Current |
Accepting new patients | |
| Mercy Health Physicians-North LLC | Current |
Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients | |
| Mercy Health - Tiffin Hospital LLC | Past | Accepting new patients |
Locations
202 W Mansfield St
New Washington, OH 44854
Phone (419) 492-1300
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
485 W Market St
Tiffin, OH 44883
Phone (419) 448-3108
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
Interoperability endpoints
- skrebs61003@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | COA. 14720-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.14720 | OH | Yes |
Addresses
Primary practice location
1100 Neal Zick Rd
Willard, OH 44890-9287
Mailing address
2200 Jefferson Ave
5TH Floor
Toledo, OH 43604-7101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088342 | Medicaid | OH | |
| COA. 14720-NP | Other | OH | LICENSE |
Other providers in Willard, OH
- Michelle M Kessler
- Philip Dale Keysor
- Casey Nichoel King
- Lisa Kosse
- Punita P Kothari
- Chelsea Kreuter
- Eric Kuivinen
- Carley Suzanne Lambert
- Landmark Recovery of Ohio LLC
- Amelia L Layne
All providers in Willard, 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 Oct 12, 2024. 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.