KSN PRIMARY CARE LLC
NPI 1437969201
Nurse Practitioner - Gerontology in Akron, OH
About Ksn Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSN PRIMARY CARE LLC (NPI 1437969201) is a healthcare organization registered as a gerontology in Akron, Ohio and active in the NPI registry since January 2025. The organization lists Korto Sulongteh-nelson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ksn Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ksn Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ksn Primary Care LLC's NPI number?
The NPI number for Ksn Primary Care LLC is 1437969201. It was assigned to this organization in the NPPES registry on January 13, 2025.
Where is Ksn Primary Care LLC located?
Ksn Primary Care LLC is located at 1841 Fairlawn Knolls Dr, Akron, OH 44313. The listed phone number is (330) 310-6812.
What is Ksn Primary Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Ksn Primary Care LLC enrolled in Medicare?
Yes. Ksn Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ksn Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ksn Primary Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ksn Primary Care LLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Ksn Primary Care Llc · NPI 1437969201
Gerontology organization in Akron, Ohio. Organization record, active in the CMS NPPES registry since January 13, 2025.
## Identity
- **NPI:** 1437969201 (Entity type: Organization)
- **Enumerated:** January 13, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Korto Sulongteh-Nelson, OWNER
## Practice location
- **Address:** 1841 FAIRLAWN KNOLLS DR, Akron, OH 44313-5435
- **Phone:** (330) 310-6812 · **Fax:** (330) 776-5557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437969201) · Data from the CMS NPPES public registry.