Susan Marder, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306702 Issued in CA

Practice address

41120 Washington St
Suite #101
Bermuda Dunes, CA 92203-9215

Phone

(760) 772-2823

Fax

(760) 772-2819

NPI assigned

Feb 6, 2009

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 CA

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Herr-Kostic Medical Group IncGroup PAC ID 5597677898, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.marder.p12@direct.mydohc.nextgenshare.com

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.

• Herr-Kostic Medical Group Inc.

  • Internal Medicine Physician
  • Bermuda Dunes, CA
  • NPI 1467672345
  Medicare reassignment Care Compare group
• California Cardiovascular Care Medical Group Inc

  • Interventional Cardiology Physician
  • Pasadena, CA
  • NPI 1912114075
  Medicare reassignment NPD
• JFK Memorial Hospital, Inc.

  dba John F. Kennedy Memorial Hospital

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1033358528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GEORGIA CT",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115114",
            "telephone_number": "909-624-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST",
            "address_2": "SUITE #101",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039215",
            "telephone_number": "760-772-2823",
            "fax_number": "760-772-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "SUSAN",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "306702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peihua Lee, DPT
• Crystal Lestari, PHARMD
• Alexei Lyapustin, PT, DPT
• Joseph Bautista Manalo, PT
• Fred H Mann, RPH
• Mattie Evans Alderman Foundation for Preventive Medicine, Inc.
• Mattie Evans Alderman Foundation, Inc.
• James R Mawhiney, DPT
• Bridgid McQuown, EDD
• Medical Wellness Group, Inc.

• Adult Health Nurse Practitioner in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.