Ann Michelle Summar, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 180039-3 Issued in MN

Practice address

1406 6TH Ave N
Rehabilitation Services
Saint Cloud, MN 56303-1900

Phone

(320) 255-5740

Fax

(320) 656-7155

NPI assigned

Aug 13, 2013

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 MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

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 and National Provider Directory roles.

• Centracare Health System-NR LLC

  • Critical Access Hospital
  • Monticello, MN
  • NPI 1275872772
  Medicare reassignment
• Regional Diagnostic Radiology

  • Diagnostic Radiology Physician
  • Sartell, MN
  • NPI 1417935321
  NPD

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1053744185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "address_2": "INPATIENT REHABILITATION",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031900",
            "telephone_number": "320-255-5740",
            "fax_number": "320-656-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "address_2": "REHABILITATION SERVICES",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031900",
            "telephone_number": "320-255-5740",
            "fax_number": "320-656-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMAR",
        "first_name": "ANN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 180039-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradub Sukhum, MD
• Maryan Abdi Suldan
• Nimo Abdi Suleiman
• Tammy Jean Sulik, PSYD LP
• Evelyn Sullivan
• Sylvia R Sundberg, MD PHD
• Tabitha Jean Sundet, LPN
• Sunrise Adult Daycare Center Inc
• Jessica Leah Sunsdahl, L.AC
• Sunshine Care Services Inc

• Family Nurse Practitioner in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.