Jacqueline Ann Suppan, MSN, CNS in Wooster, OH - Medicare Certified Clinical Nurse Specialist (cns)

Jacqueline Ann Suppan, MSN, CNS is a medicare enrolled "Nurse Practitioner - Primary Care" in Wooster, Ohio. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Wooster Clinic Llc and her current practice location is 1740 Cleveland Rd, Wooster, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 287-4500.

Jacqueline Ann Suppan is licensed to practice in Ohio (license number APRN.CNP.0036720) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124084777.

Contact Information

	Jacqueline Ann Suppan, MSN, CNS
	1740 Cleveland Rd, Wooster, OH 44691-2204
	(330) 287-4500
	(330) 287-4929

Map and Direction

Provider's Profile

Full Name	Jacqueline Ann Suppan
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	25 Years
Location	1740 Cleveland Rd, Wooster, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Ann Suppan graduated from nursing school in 2001

NPI Data:

NPI Number: 1124084777
Provider Enumeration Date: 04/24/2006
Last Update Date: 12/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0547317562
Enrollment ID: I20090409000043

Medical Identifiers

Medical identifiers for Jacqueline Ann Suppan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124084777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2200X	Clinical Nurse Specialist - Adult Health	CTP-06570 (Ohio)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	APRN.CNP.0036720 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wooster Clinic Llc	6800708124	367

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Ann Suppan allows following entities to bill medicare on her behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

Entity Name	Wooster Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Ann Suppan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline Ann Suppan, MSN, CNS 2825 E Paradise Street Ext, Orrville, OH 44667-9621 Ph: (330) 234-0935	Jacqueline Ann Suppan, MSN, CNS 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500

Reviews and Comments

Nurse Practitioner Nurses in Wooster, OH

Ms. Patricia C. Mclaughlin, MSN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2326 Eagle Pass, Wooster, OH 44691 Phone: 330-262-2800 Fax: 330-262-2807
Ms. Theresa Kimberley Malmon-berg, M.S.N., C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500
Angela Casey, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2285 Benden Dr, Wooster, OH 44691 Phone: 330-264-9029 Fax: 330-263-7251
Connie Sue Rackow, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 334 E Milltown Rd, Wooster, OH 44691 Phone: 330-345-7798 Fax: 330-345-7225
Sharon M Weyer, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1874 Cleveland Rd, Wooster, OH 44691 Phone: 330-262-2500
Christina E Stout, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1739 Cleveland Rd, Wooster, OH 44691 Phone: 330-262-2500 Fax: 330-264-8713
Kelly S Smith, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500

Jacqueline Ann Suppan, MSN, CNS - Medicare Certified Clinical Nurse Specialist (cns) in Wooster, OH