Active NPI 1528420650 Individual Practitioner Female Practitioner

Jennifer Sundstrom , CNP

Nurse Practitioner - Primary Care • Kettering, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Sundstrom, CNP is a certified Nurse Practitioner - Primary Care practicing in Kettering, OH. With approximately 11 years of clinical experience since completing medical education in 2015, Jennifer Sundstrom delivers high-quality medical care to the local community at 3737 SOUTHERN BLVD STE 2000.

Jennifer Sundstrom is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3737 Southern Blvd Ste 2000

Kettering, OH 454291285

Telephone 9372284126

Fax 9372280247

Associated Practice Facility / Clinic

🏢 Dayton Surgeons Inc Facility NPI 1942350244

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Kettering, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 7.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Kettering, OH (498 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sundstrom (11 Years) 11 Yrs

Kettering Specialty Average (11.0 Years) 11.0 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	236	180	$188.00	$72.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$279.00	$89.83
99441 Telephone medical discussion with physician, 5-10 minutes	37	36	$60.00	$44.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$113.00	$45.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$279.00	$103.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	173	$188.00	$73.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$279.00	$91.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$113.00	$45.92
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$60.00	$45.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	139	$179.00	$75.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$265.00	$93.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$265.00	$106.98
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$57.00	$46.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$406.00	$132.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	117	$179.00	$75.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$265.00	$91.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$265.00	$107.53
99441 Telephone medical discussion with physician, 5-10 minutes	18	16	$57.00	$46.21
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$95.00	$75.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	612	118	$78.51	$43.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	234	140	$99.11	$61.23
11042 Removal of skin and tissue, 20.0 sq cm or less	95	38	$148.47	$50.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$172.02	$116.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$163.69	$110.19
17250 Application of chemical to stop tissue regrowth in wound	39	16	$100.00	$31.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$140.00	$88.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$116.67	$66.84
29580 Strapping, unna boot	14	13	$75.00	$30.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	108	$70.00	$42.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	204	39	$95.00	$56.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	113	$100.00	$60.41
11042 Removal of skin and tissue, 20.0 sq cm or less	108	48	$111.11	$49.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	81	$170.00	$113.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	44	$65.00	$32.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	36	$55.00	$21.23
29580 Strapping, unna boot	45	38	$75.00	$28.85
17250 Application of chemical to stop tissue regrowth in wound	26	18	$100.00	$27.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$150.00	$103.68
11042 Removal of skin and tissue, 20.0 sq cm or less	23	12	$115.00	$98.49
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$130.00	$84.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	20	$180.00	$107.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	13	$65.00	$36.37
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$70.00	$60.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	690	142	$122.61	$57.31
11042 Removal of skin and tissue, 20.0 sq cm or less	227	81	$264.01	$52.01
99213 Established patient office or other outpatient visit, typically 15 minutes	121	36	$70.00	$42.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	118	34	$95.25	$57.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	113	110	$165.66	$108.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	92	80	$179.29	$111.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	51	$110.68	$59.78
17250 Application of chemical to stop tissue regrowth in wound	59	26	$85.17	$28.63
11042 Removal of skin and tissue, 20.0 sq cm or less	57	29	$165.35	$95.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	15	$148.21	$75.80
29580 Strapping, unna boot	37	23	$75.00	$31.75
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$70.00	$59.48
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$130.00	$76.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$65.00	$32.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	454	136	$123.43	$56.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	133	117	$70.41	$56.94
51798 Ultrasound measurement of bladder capacity after voiding	89	84	$22.00	$17.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	64	61	$50.00	$36.84
11042 Removal of skin and tissue, 20.0 sq cm or less	58	29	$320.00	$51.41
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	54	52	$115.83	$74.83
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	42	41	$157.62	$106.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	29	$124.50	$74.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	29	$90.00	$75.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$130.00	$59.76
11042 Removal of skin and tissue, 20.0 sq cm or less	13	12	$320.00	$93.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$215.00	$113.24

Medical Specialties & State Licenses

CMS Verified: 2021-03-08

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License OH RN.273729

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License OH RN.273729

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0165479 (OH)

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

3737 Southern Blvd, Kettering, OH 454291285

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Philip Williams , MD

Surgery - Vascular Surgery

NPI 1023082401

Doctor of Medicine (M.D.)

Dr. William Rundell , MD

Surgery - Vascular Surgery

NPI 1174595748

Doctor of Medicine (M.D.)

Dr. Alyssa Bonta , MD

Surgery - Vascular Surgery

NPI 1215227004

Doctor of Medicine (M.D.)

Dr. Louisa Pecchioni , MD

Surgery - Vascular Surgery

NPI 1407032865

Doctor of Medicine (M.D.)

Dr. Phillip Heyse , MD

Surgery

NPI 1467603175

Doctor of Medicine (M.D.)

Dr. Raquel Vicario Feliciano , MD

Surgery - Vascular Surgery

NPI 1548724214

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location March 08, 2021

Registered at 3737 SOUTHERN BLVD STE 2000, KETTERING, OH 454291285 (Tel: 9372284126)

📍

Updated Business Mailing Address March 08, 2021

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621306)

👤

Provider Name / Credentials Updated March 08, 2021

Recorded as JENNIFER SUNDSTROM, CNP

✅

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2017

Registered at 245 TUXWORTH RD, CENTERVILLE, OH 454582453 (Tel: 9376725209)

📍

Updated Business Mailing Address April 20, 2017

Registered at 245 TUXWORTH RD, CENTERVILLE, OH 454582453 (Tel: 9376725209)

👤

Provider Name / Credentials Updated April 20, 2017

Recorded as JENNIFER SUNDSTROM, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Nurse Practitioner (License #RN.273729 in OH)

✅

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2016

Registered at 5563 FAR HILLS AVE, DAYTON, OH 454292225 (Tel: 9372910839)

📍

Updated Business Mailing Address March 28, 2016

Registered at 5563 FAR HILLS AVE, DAYTON, OH 454292225 (Tel: 9372910839)

👤

Provider Name / Credentials Updated March 28, 2016

Recorded as JENNIFER SUNDSTROM, AGNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Nurse Practitioner (License #RN.273729 in OH)

🟢

Initial NPI Registration & Enumeration March 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jennifer Sundstrom. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528420650

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2016

Last Update: March 08, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621306

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.