NPIMap

Individual provider Active NPI

Susan R Hansford-Orsburn, FNP

  • Family Medicine Physician
  • Alvord, TX
National Provider Identifier
1053417857
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254192 Issued in TX
Practice address
115 E Bypass 287
Alvord, TX 76225-7778
Phone
(940) 428-2858
Fax
(866) 241-2533
NPI assigned
Sep 16, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP106807 TX
Family Nurse Practitioner 363LF0000X AP106807 TX
Family Medicine Physician 207Q00000X 254192 TX Primary

Addresses

Primary practice location

115 E Bypass 287
Alvord, TX 76225-7778

Mailing address

115 E Bypass 287
Alvord, TX 76225-7778
Phone (940) 427-2858

Other identifiers 1

IdentifierTypeStateIssuer
254192OtherTXLICENSE

Other names 1

  • Susan R Hansford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090519000395 TX Practitioner - Nurse Practitioner 7911902010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jack County Hospital DistrictGroup PAC ID 5890768675, 20 clinicians

Practice addresses (Care Compare)

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (940) 567-6633

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jack County Hospital District Family Medicine CurrentSince Feb 3, 2022 Accepting new patients
Jack County Hospital District CurrentSince Feb 3, 2022 Accepting new patients
Alvord Medical Clinic, PA Family Medicine PastSince Jan 1, 2005 Accepting new patients

Locations

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • Direct secure messaging: susan.hansford-orsburn.1@11284.direct.athenahealth.com
  • Direct secure messaging: susan.hansford-orsburn@4668404203524.direct.elationemr.com

Organizations & group practices 3

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1053417857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BYPASS 287",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762257778",
            "telephone_number": "940-427-2858",
            "fax_number": "940-627-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BYPASS 287",
            "city": "ALVORD",
            "state": "TX",
            "postal_code": "762257778",
            "telephone_number": "940-428-2858",
            "fax_number": "866-241-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD-ORSBURN",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP106807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP106807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "254192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "254192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HANSFORD",
            "middle_name": "R",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alvord, TX

Sources for this page

Verify at the official NPI Registry.