Mrs Jennifer Sundstrom, CNP in Kettering, OH - Medicare Nurse Practitioner

Mrs Jennifer Sundstrom, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Kettering, Ohio. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3737 Southern Blvd Ste 2000, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 228-4126.

Mrs Jennifer Sundstrom is licensed to practice in Ohio (license number RN.273729) 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 1528420650.

Contact Information

	Mrs Jennifer Sundstrom, CNP
	3737 Southern Blvd Ste 2000, Kettering, OH 45429-1285
	(937) 228-4126
	(937) 228-0247

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Sundstrom
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3737 Southern Blvd Ste 2000, Kettering, 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:

Mrs Jennifer Sundstrom graduated from nursing school in 2015

NPI Data:

NPI Number: 1528420650
Provider Enumeration Date: 03/28/2016
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2264711415
Enrollment ID: I20161111000670

Medical Identifiers

Medical identifiers for Mrs Jennifer Sundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528420650	NPI	-	NPPES
0165479	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN.273729 (Ohio)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN.273729 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Kettering Medical Center	Kettering, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital
Miami Valley Hospital	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	602

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. Mrs Jennifer Sundstrom allows following entities to bill medicare on her behalf.

Entity Name	Metro Golden Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649329368 PECOS PAC ID: 7911917737 Enrollment ID: O20060424000681

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Mrs Jennifer Sundstrom 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
Mrs Jennifer Sundstrom, CNP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1306	Mrs Jennifer Sundstrom, CNP 3737 Southern Blvd Ste 2000, Kettering, OH 45429-1285 Ph: (937) 228-4126

Reviews and Comments

Nurse Practitioner Nurses in Kettering, OH

Holli N Kroger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5450 Far Hills Ave, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468
Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299
Stephanie Lynn Henry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166

Mrs Jennifer Sundstrom, CNP - Medicare Nurse Practitioner in Kettering, OH