MRS. JENNIFER SUNDSTROM CNP
NPI 1528420650
Nurse Practitioner - Primary Care in Kettering, OH

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3737 SOUTHERN BLVD STE 2000, KETTERING, OH 45429(937) 228-4126(937) 228-0247 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Apr 20, 2017, Mar 28, 2016 (3 updates tracked since 2016).

About Mrs. Jennifer Sundstrom Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER SUNDSTROM CNP (NPI 1528420650) is an individual primary care provider in Kettering, Ohio, licensed in Ohio (RN.273729) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528420650
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. JENNIFER SUNDSTROMCredential: CNP
Location Address3737 SOUTHERN BLVD STE 2000Kettering, OH 45429-1285
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1306 · Fax (937) 522-7017
Fax(937) 228-0247
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 28, 2016
Last NPPES UpdateMarch 8, 20213 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
NPI 1528420650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OH · RN.273729
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN.273729 (OH)
3737 SOUTHERN BLVD STE 2000, Kettering, OH 45429

Other Identifiers 1

Medicaid0165479OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Sundstrom Cnp 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.

PECOS PAC ID2264711415
PECOS Enrollment IDI20161111000670
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
236 services180 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
37 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
3737 SOUTHERN BLVD STE 2000
KETTERING, OH 45429
Surgery
3737 SOUTHERN BLVD STE 2000
DAYTON, OH 45429

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 Jennifer Sundstrom's NPI number?

The NPI number for Jennifer Sundstrom is 1528420650. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Jennifer Sundstrom located?

Jennifer Sundstrom practices at 3737 Southern Blvd Ste 2000, Kettering, OH 45429. The listed phone number is (937) 228-4126.

What is Jennifer Sundstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jennifer Sundstrom enrolled in Medicare?

Yes. Jennifer Sundstrom 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.

What insurance does Jennifer Sundstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Jennifer Sundstrom 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 Jennifer Sundstrom affiliated with any hospitals?

According to CMS data, Jennifer Sundstrom is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Sundstrom was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.