Active NPI
Susan M. Miner, APRN, FNP-C
- Family Nurse Practitioner
- Afton, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 46373
- Practice address
- 47 Doc Perkes
Afton, WY 83110-7703 - Phone
- (307) 883-5500
- NPI assigned
- Oct 27, 2020
- Last updated
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 46373 | WY | Primary |
Addresses
Primary practice location
47 Doc Perkes
Afton, WY 83110-7703
Mailing address
942 Saddle Dr
Etna, WY 83118-8713
Phone (307) 349-4682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Doc Perkes
Afton, WY 83110-7703
Phone (307) 885-3637
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone 20854291111026
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46373 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Provider Group | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients |
Locations
7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864
1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404
2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064
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.
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Star Valley Medical Center
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1063012383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 SADDLE DR",
"city": "ETNA",
"state": "WY",
"postal_code": "831188713",
"telephone_number": "307-349-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 DOC PERKES",
"city": "AFTON",
"state": "WY",
"postal_code": "831107703",
"telephone_number": "307-883-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "46373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.