Individual provider Active NPI

Susan Hall

  • Family Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1922559962
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022401 Issued in OH
Practice address
6535 Snider Rd
Loveland, OH 45140-9588
Phone
(513) 575-1444
Fax
(513) 575-1451
NPI assigned
Oct 14, 2016
Reactivated
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Nurse Practitioner 363LF0000X APRN.CNP.022401 OH Primary

Addresses

Primary practice location

6535 Snider Rd
Loveland, OH 45140-9588

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041

Other identifiers 1

IdentifierTypeStateIssuer
0280759MedicaidOH

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
I20180719002222 OH Practitioner - Nurse Practitioner 4385991538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Ohio Inc 56 clinicians

Practice addresses (Care Compare)

6694 Goshen Rd
Suite 324
Goshen, OH 45122-9273
Phone (513) 592-3690

Hospital & facility affiliations

  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

6694 Goshen Rd
Ste 324
Goshen, OH 45122
Phone (513) 592-3690

6535 Charles Snider Rd
Goshen, OH 45140
Phone (513) 575-1444

1231 Columbus Ave
Unit A1
Lebanon, OH 45036
Phone (513) 695-4495

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088

100 River Valley Blvd
Ste A
New Richmond, OH 45157

100 River Valley Blvd
New Richmond, OH 45157
Phone (513) 553-3114

Interoperability endpoints

  • Direct secure messaging: susan.hallcfnp.p1@direct.hsohio.nextgenshare.com

Organizations & group practices 35

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.

View all 35

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1922559962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 SNIDER RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409588",
            "telephone_number": "513-575-1444",
            "fax_number": "513-575-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "deactivation_date": "2018-03-01",
        "reactivation_date": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.