Sue Ann Fickel, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.12812-NP Issued in OH

Practice address

140 Fox Rd
Suite #304
Van Wert, OH 45891-2475

Phone

(419) 238-6747

NPI assigned

Nov 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suefickel@fhcnoi.allscriptsdirect.net

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.

• Family Health Care of Northwest Ohio, Inc.

  • Community Health Clinic/Center
  • Van Wert, OH
  • NPI 1134296502
  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Phoenix Emergency Physicians of the Midwest LLC

  • Emergency Medicine Physician
  • Van Wert, OH
  • NPI 1144556184
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1912283060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18665 ROAD 18R",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309252",
            "telephone_number": "419-642-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "SUITE #304",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-238-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKEL",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12812-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Care of Northwest Ohio, Inc.
• Madison Ann Farler
• Christopher Farris, PHARMD
• Julie Fegley
• Joellen E Fickel
• Christina Flinn, QMHS
• Foster Family Chiropractic, LLC
• Shad Alan Foster, D.C.
• Fountain Park Home Care, LLC
• Foust Care Solutions LLC

• Family Nurse Practitioner in Van Wert, OH
• Providers in Van Wert, 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 Nov 2, 2011; 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.