Susan Marie Dorman, RN, CS-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

107376 Issued in CO

Practice address

451 14TH St
Burlington, CO 80807-1609

Phone

(719) 346-4681

Fax

(719) 346-8742

NPI assigned

Jul 5, 2007

Last updated

Sep 19, 2022By the provider in NPPES

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 CO

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Essentials IncGroup PAC ID 8820474596, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kit Carson County Memorial Hospital Hospital, Burlington, CO, CCN 061313
• Wray Community District Hospital Hospital, Wray, CO, CCN 061309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Health Essentials Inc

  • Community Health Clinic/Center
  • Burlington, CO
  • NPI 1699414029
  Medicare reassignment Care Compare group NPD

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

• Kit Carson County Health Services District

  dba Kit Carson County Memorial Hospital

  • Critical Access Hospital
  • Burlington, CO
  • NPI 1184711475
  Care Compare affiliation
• Wray Community District Hospital

  • Critical Access Hospital
  • Wray, CO
  • NPI 1083640239
  Care Compare affiliation
• Wray Community District Hospital

  dba The Wray Clinic

  • General Practice Physician
  • Wray, CO
  • NPI 1477587202

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1033317557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808070334",
            "telephone_number": "719-346-5301",
            "fax_number": "719-346-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 14TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071609",
            "telephone_number": "719-346-4681",
            "fax_number": "719-346-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "RN, CS-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-09-19",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "107376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph S. Datema, D MIN.
• Krista Shalynn Davis, LCSW
• Denver Vamc
• Jenna Deubler
• Kathryn Helen Dobler, RN, BSN
• Rachel Doty, PT, DPT
• Dynamic Dimensions Inc
• Dynamic Dimensions, Inc
• Elite Performance International
• Endovascular Consultants of Colorado PC

• Family Nurse Practitioner in Burlington, CO
• Providers in Burlington, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.