NPIMap

Individual provider Active NPI

Susan U Haikes, MSN CRNP

  • Family Nurse Practitioner
  • Dickson City, PA
National Provider Identifier
1003894114
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004490B Issued in PA
Practice address
334 Main St
Dickson City, PA 18519-1668
Phone
(570) 307-1767
Fax
(570) 307-1778
NPI assigned
Jan 9, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN332858L PA
Family Nurse Practitioner 363LF0000X TP004490B PA Primary

Addresses

Primary practice location

334 Main St
Dickson City, PA 18519-1668

Mailing address

3 W Olive St
Ste 118
Scranton, PA 18508-2572
Phone (570) 961-3823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000542 PA Practitioner - Nurse Practitioner 3274590864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1621 N Cedar Crest Blvd
Allentown, PA 18104-2304
Phone (610) 402-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN332858LPAMDNurse Practitioner
TP004490BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 28, 2022 Accepting new patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 28, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 13, 2023 Accepting new patients
Hazleton Professional Services Nurse Practitioner CurrentSince May 13, 2023 Accepting new patients

Locations

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

100 Hospital Dr
Montrose, PA 18801
Phone (570) 278-3801

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

5 Morgan Hwy
Ste 6
Scranton, PA 18508
Phone (570) 207-4360

Interoperability endpoints

  • Direct secure messaging: shaikes422253@direct2.lvhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003894114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "address_2": "STE 118",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-961-3823",
            "fax_number": "570-207-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIKES",
        "first_name": "SUSAN",
        "middle_name": "U",
        "name_prefix": "Ms.",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN332858L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004490B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.