Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Kerubo, NP

Individual provider Family Nurse Practitioner · NPI 1154143832

Heather Kerubo, NP is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2021, 5 years ago. Practices with Cg Medical Associates Inc, a 171-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3286 Pentagon Blvd
Beavercreek, OH 45431-1789
Phone: (937) 286-5814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP0035551 (OH)

Record details

NPI number1154143832
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cg Medical Associates Inc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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