Susan Owens

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704150739 Issued in MI

Practice address

202 Meadows Dr
Grayling, MI 49738-2013

Phone

(989) 348-7800

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By the provider in NPPES

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 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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• District Health Department #10

  • Public Health or Welfare Agency
  • White Cloud, MI
  • NPI 1316279045
  NPD
• District Health Department No 10

  • Public Health or Welfare Agency
  • White Cloud, MI
  • NPI 1265441877
  NPD
• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1053474015
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1063701688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 DEER FIELD EST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497386442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "989-348-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704150739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip James Niklowicz
• Northern Michigan Endocrine PLLC
• Northern Mitten Women and Childrens Center
• Vishnu Nutakki, MD
• Ralph Carl Oppermann III, D.D.S.
• Kelly Joanne Palmer-Johnson
• Nichole Palmer
• Jaclyn Parker, CRNA
• Nicole Marie Persing-Wethington, RYT-200
• Timothy Daniel Petersen, R.PH.

• Family Nurse Practitioner in Grayling, MI
• Providers in Grayling, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.