SEMBRIA SUGG APRN-CNP
NPI 1629859038
Nurse Practitioner - Family in Maumee, OH
About Sembria Sugg Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEMBRIA SUGG APRN-CNP (NPI 1629859038) is an individual family provider in Maumee, Ohio, licensed in Ohio (APRN.CNP.0035114) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Wood County Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Other Identifiers 1
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
Sembria Sugg Aprn-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.
Medicare Billing Reassignments
2Medicare enrollment records show Sembria Sugg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maumee, OH 43537
- Reassigned Medicare billing, Ohio enrollment
- 219 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 60 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 8
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wood County Hospital
Acute Care Hospitals · Bowling Green, OHPromedica Toledo Hospital
Acute Care Hospitals · Toledo, OHBlanchard Valley Hospital
Acute Care Hospitals · Findlay, OHMercy St Vincent Medical Center
Acute Care Hospitals · Toledo, OHMemorial Hospital
Acute Care Hospitals · Fremont, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43537 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sembria Sugg's NPI number?
The NPI number for Sembria Sugg is 1629859038. It was assigned to this individual provider in the NPPES registry on October 11, 2023.
Where is Sembria Sugg located?
Sembria Sugg practices at 6935 Monclova Rd, Maumee, OH 43537. The listed phone number is (419) 866-3030.
What is Sembria Sugg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sembria Sugg enrolled in Medicare?
Yes. Sembria Sugg 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 Sembria Sugg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sembria Sugg reassigns Medicare benefits to 2 organizations: Toledo Clinic Incorporated (Maumee, OH) and Guidestar Eldercare Corp -Oh (Columbus, 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 Sembria Sugg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sembria Sugg accept?
Health plans from Anthem Blue Cross and Blue Shield, McLaren Health Plan Community and Priority Health list Sembria Sugg 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 Sembria Sugg affiliated with any hospitals?
According to CMS data, Sembria Sugg is affiliated with Wood County Hospital, Promedica Toledo Hospital, Blanchard Valley Hospital, Mercy St Vincent Medical Center and Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sembria Sugg was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Sembria Sugg, APRN-CNP · NPI 1629859038
Family physician in Maumee, Ohio. Individual provider, active in the CMS NPPES registry since October 11, 2023.
## Identity
- **NPI:** 1629859038 (Entity type: Individual)
- **Enumerated:** October 11, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0035114 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6935 MONCLOVA RD, Maumee, OH 43537-9353
- **Phone:** (419) 866-3030
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Toledo Clinic Incorporated (NPI 1275280125, Maumee, OH); Guidestar Eldercare Corp -Oh (NPI 1962023424, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 20, 2026
- **Other identifiers:** Medicaid 0033685 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1629859038) · Data from the CMS NPPES public registry.