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Active NPI 1366502304 Individual Practitioner Female Practitioner

Susan C Iannicca , CNP, RD

Nurse Practitioner • Hudson, OH

Professional Overview & Biography Verified Profile Summary

Susan Iannicca, CNP, RD is a registered healthcare professional specializing in Nurse Practitioner in Hudson, OH. Practice services are available at 231 SEASONS RD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

231 Seasons Rd
Suite 200

Hudson, OH 44224

Telephone 3306505110
Fax 3306505115
Associated Practice Facility / Clinic
🏢 Unity Health Network, Llc Facility NPI 1346660594

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hudson, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Hudson, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
218 47 $215.00 $86.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
35 32 $310.00 $123.96

Medical Specialties & State Licenses

CMS Verified: 2023-07-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP07882

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License OH LD5059

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH RN286846

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2598765 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Manjinder Kaur , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1487865309

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Wojtowicz , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1508956830

Doctor of Osteopathic Medicine (D.O.)

Dr. Mehr Khan , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1922206010

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 02, 2023

Registered at 231 SEASONS RD, SUITE 200, HUDSON, OH 44224 (Tel: 3306505110)

📍
Updated Business Mailing Address August 02, 2023

Registered at 231 SEASONS RD, SUITE 200, HUDSON, OH 44224 (Tel: 3306505110)

📍
Updated Business Mailing Address May 17, 2018

Registered at 5655 HUDSON DR, STE 110, HUDSON, OH 442364454 (Tel: 3306505110)

NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2016

Registered at 5655 HUDSON DRIVE, SUITE 315, HUDSON, OH 44236 (Tel: 3306505110)

📍
Updated Business Mailing Address April 01, 2016

Registered at 5655 HUDSON DRIVE, SUITE 315, HUDSON, OH 44236 (Tel: 3306505110)

👤
Provider Name / Credentials Updated April 01, 2016

Recorded as SUSAN IANNICCA, CNP, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Dietitian, Registered (License #LD5059 in OH)

🟢
Initial NPI Registration & Enumeration December 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366502304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: August 02, 2023
Sole Proprietor: No

Mailing Address

231 Seasons Rd, Suite 200

Hudson, OH 44224

Phone: 3306505110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.