JACQUELINE ANN SUPPAN (MSN, CNS) – Primary Care Nurse Practitioner, NPI 1124084777
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for JACQUELINE ANN SUPPAN (MSN, CNS)
2825 E PARADISE STREET EXT
ORRVILLE, OH 446679621
Phone: (330) 234-0935
Type: Mailing
1740 CLEVELAND RD
WOOSTER, OH 446912204
Phone: (330) 287-4500
Fax: (330) 287-4929
Type: Location
733, Market Avenue South, Downtown Canton Arts District, Canton, Stark County, Ohio, 44702, United States
CANTON, OH 447022165
Phone: (330) 489-4600
Fax: (216) 229-2642
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090409000043 | I | Certified Clinical Nurse Specialist (Cns) | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44667)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| P A T H O L O G Y | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| - | OH | |
| Diagnostic Radiology, Neurology | OH |
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