Individual provider Active NPI

Susan Whitney

  • Family Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1033537501
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704298365 Issued in MI
Practice address
5445 Ali Dr Dept 340
Grand Blanc, MI 48439-5193
Phone
(810) 428-1181
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704298365 MI
Family Nurse Practitioner 363LF0000X 4704298365 MI Primary

Addresses

Primary practice location

5445 Ali Dr Dept 340
Grand Blanc, MI 48439-5193

Mailing address

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160623002183 MI Practitioner - Nurse Practitioner 9335430222 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognosis HealthGroup PAC ID 4587164314, 2 clinicians

Practice addresses (Care Compare)

5445 Ali Dr
Grand Blanc, MI 48439-5191
Phone (810) 428-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704298365MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cognosis Health Nurse Practitioner CurrentSince Oct 21, 2025 Accepting new patients
Hurley Medical Center Current Accepting new patients
John Kitzmiller M.D. PC CurrentSince Jul 1, 2016 Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Aug 23, 2017 Accepting new patients
Cognosis Health CurrentSince Aug 1, 2025 Accepting new patients
Hurley Medical Center CurrentSince Aug 23, 2017 Accepting new patients
Hurley Medical Center CurrentSince Aug 23, 2017 Accepting new patients

Locations

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

5445 Ali Dr
#340
Grand Blanc, MI 48439
Phone (551) 444-0924

5445 Ali Dr
Dept 330
Grand Blanc, MI 48439
Phone (551) 444-0924

1455 S Lapeer Rd
Ste 200
Lake Orion, MI 48360
Phone (248) 693-1986

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1033537501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "810-667-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 340",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704298365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.