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Active NPI 1124084777 Individual Practitioner Female Practitioner

Jacqueline Ann Suppan , MSN, CNS

Nurse Practitioner - Primary Care • Wooster, OH

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jacqueline Suppan, MSN, CNS is a registered Nurse Practitioner - Primary Care practitioner in Wooster, OH. With approximately 25 years of clinical practice since completing medical education in 2001, Jacqueline Suppan provides healthcare services at the registered practice location at 1740 CLEVELAND RD.

Jacqueline Suppan is affiliated with Wooster Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, assessment of emotional or behavioral problems. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1740 Cleveland Rd

Wooster, OH 446912204

Telephone 3302874500
Fax 3302874929
Associated Practice Facility / Clinic
🏢 Wooster Clinic, Llc Facility NPI 1033135009

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

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

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +10.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Wooster, OH (498 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Suppan (25 Years) 25 Yrs
Wooster Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
214 128 $140.00 $13.32
99213 Established patient office or other outpatient visit, typically 15 minutes
187 109 $423.00 $57.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 78 $624.00 $67.79
96127 Assessment of emotional or behavioral problems
71 40 $28.00 $4.22
G0008 Administration of influenza virus vaccine
23 23 $55.00 $30.39
90662 Influenza vaccine split virus, preservative free
23 23 $180.78 $81.82
91320 Sarscv2 vac 30mcg trs-suc im
13 13 $259.75 $152.78
90480 Admn sarscov2 vacc 1 dose
13 13 $250.00 $40.52

Medical Specialties & State Licenses

CMS Verified: 2025-12-18
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License OH APRN.CNP.0036720

Definition to come...

Clinical Nurse Specialist - Adult Health

NUCC Taxonomy Code: 364SA2200X

State License OH CTP-06570

Definition to come...

Hospital & Practice Group Affiliations

Wooster Clinic Llc

1740 Cleveland Rd, Wooster, OH 446912204

Phone: 3302874500

Practice Associates & Co-Workers

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

40 Associated Practitioners
Theresa Malmon-Berg , MSN, CNP

Nurse Practitioner - Family

NPI 1013139021

Master of Science in Nursing, Certified Nurse Practitioner

NPI 1043662927

Doctor of Optometry

Dr. Dennis Davis , DO

Family Medicine

NPI 1083670350

Doctor of Osteopathic Medicine (D.O.)

Kelly Smith , CNP

Nurse Practitioner - Family

NPI 1083772610

Certified Nurse Practitioner

Dr. William Novak , MD

Psychiatry & Neurology - Neurology

NPI 1124224837

Doctor of Medicine (M.D.)

Christy Haagen , CRNP

Nurse Practitioner - Family

NPI 1124342597

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 18, 2025

Registered at 1740 CLEVELAND RD, WOOSTER, OH 446912204 (Tel: 3302874500)

📍
Updated Practice Location April 30, 2020

Registered at 733 MARKET AVE S, CANTON, OH 447022165 (Tel: 3304894600)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2600 SIXTH ST SW, CANTON, OH 447101702 (Tel: 3303639727)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2825 E PARADISE STREET EXT, ORRVILLE, OH 446679621 (Tel: 3306832408)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUELINE SUPPAN, MSN, CNS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinical Nurse Specialist (License #CTP-06570 in OH)

🟢
Initial NPI Registration & Enumeration April 24, 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: 1124084777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: December 18, 2025
Sole Proprietor: No

Mailing Address

2825 E Paradise Street Ext

Orrville, OH 446679621

Phone: 3302340935

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.