Suzanne E Omrod, MSN, RN, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LB-0000256 Issued in DE

Practice address

17068 Lankford Highway
Eastville, VA 23347

Phone

(757) 331-1086

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Rural Health System IncorporatedGroup PAC ID 2668380106, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Shore Home Health Home health agency, Accomac, VA, CCN 497507
• Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA/Endpoint/JIBEAA

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

• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Church, VA
  • NPI 1043341613
  Medicare reassignment Care Compare group NPD
• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Pharmacy

  • Community/Retail Pharmacy
  • Oak Hall, VA
  • NPI 1174224604
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Onley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1568592426
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Chincoteague Island Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chincoteague, VA
  • NPI 1598895542
  NPD
• Eastern Shore Rural Health System Incorporated

  dba ESRH Express Care

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1649987058
  NPD
• Eastern Shore Rural Health System Incorporated.

  • Federally Qualified Health Center (FQHC)
  • Onancock, VA
  • NPI 1174502967
  NPD (past)

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

• Shore Health Services Inc.

  dba Riverside Shore Memorial Hospital

  • Rural Acute Care Hospital
  • Onancock, VA
  • NPI 1619076916
  Care Compare affiliation
• Shore Health Services, Inc

  dba Riverside Home Health

  • Home Health Agency
  • Accomac, VA
  • NPI 1053360529
  Care Compare affiliation

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1023378676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "573-311-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMROD",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "MSN, RN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB-0000256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Annette Johnson Rayfield, DO
• Michelle Jugovich, PA-C
• Nicholas Christopher Lombardozzi, DDS
• Mary Kathryn Michaelis, PMHNP-BC
• Northampton County Board of Supervisors
• Emily Patrick, PA
• Linda G Philpot, M.D.
• Rayfield's Pharmacy Inc
• Nicholas Sean Regel, PA
• Kimberly Richbourg, RDH

• Adult Health Nurse Practitioner in Eastville, VA
• Providers in Eastville, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.