JACQUELINE ANN SUPPAN MSN, CNS
NPI 1124084777
Nurse Practitioner - Primary Care in Wooster, OH
About Jacqueline Ann Suppan Msn, Cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE ANN SUPPAN MSN, CNS (NPI 1124084777) is an individual primary care provider in Wooster, Ohio, licensed in Ohio (APRN.CNP.0036720) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Ann Suppan Msn, Cns is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jacqueline Suppan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 837 clinicians in this Medicare group
Canton, OH 44702
- Reassigned Medicare billing, Ohio enrollment
- 79 clinicians in this Medicare group
Canton, OH 44702
- Reassigned Medicare billing, Ohio enrollment
- 85 clinicians in this Medicare group
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOOSTER, OH 44691
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Suppan's NPI number?
The NPI number for Jacqueline Suppan is 1124084777. It was assigned to this individual provider in the NPPES registry on April 24, 2006.
Where is Jacqueline Suppan located?
Jacqueline Suppan practices at 1740 Cleveland Rd, Wooster, OH 44691. The listed phone number is (330) 287-4500.
What is Jacqueline Suppan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jacqueline Suppan enrolled in Medicare?
Yes. Jacqueline Suppan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Suppan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Suppan reassigns Medicare benefits to 4 organizations: Wooster Clinic, LLC (Wooster, OH), Pinnacle Care Providers, LLC (Canton, OH), Skill Doc 101, LLC (Canton, OH) and The Cleveland Clinic Foundation (Avon, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Suppan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Suppan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Molina Healthcare and UnitedHealthcare list Jacqueline Suppan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacqueline Suppan affiliated with any hospitals?
According to CMS data, Jacqueline Suppan is affiliated with Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Jacqueline Suppan was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Ann Suppan, MSN, CNS · NPI 1124084777
Primary Care physician in Wooster, Ohio. Individual provider, active in the CMS NPPES registry since April 24, 2006.
## Identity
- **NPI:** 1124084777 (Entity type: Individual)
- **Enumerated:** April 24, 2006
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN.CNP.0036720 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1740 CLEVELAND RD, Wooster, OH 44691-2204
- **Phone:** (330) 287-4500 · **Fax:** (330) 287-4929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Wooster Clinic, LLC (NPI 1033135009, Wooster, OH); Pinnacle Care Providers, LLC (NPI 1578799417, Canton, OH); Skill Doc 101, LLC (NPI 1043647803, Canton, OH); The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124084777) · Data from the CMS NPPES public registry.