Active NPI
Suzanne M Jones, FNP
- Nurse Practitioner
- Prineville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1733
- Practice address
- 375 NW Beaver St Ste 101
Prineville, OR 97754-1802 - Phone
- (541) 447-0707
- Fax
- (541) 383-1883
- NPI assigned
- May 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1733 | HI | Primary |
| Family Nurse Practitioner | 363LF0000X | 201700943NP-PP | OR |
Addresses
Primary practice location
375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Mailing address
75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629
Other practice location 1
1250 SW Veterans Way Ste 120
Redmond, OR 97756-2585
Phone (541) 923-4462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500720837 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1705
Phone (808) 326-5629
75-5751 Kuakini Hwy 203
Kailua Kona, HI 96740-1752
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1733 | HI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients |
Locations
450 Kilauea Ave
Ste 101105
Hilo, HI 96720
73 Puuhonu Pl
Ste 204
Hilo, HI 96720
Phone (808) 333-3500
1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082
305 Wailuku Dr
Ste 2A
Hilo, HI 96720
Phone (808) 933-2982
75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040
81-980 Halekii St
Ste 107
Kealakekua, HI 96750
Phone (808) 324-0703
81-6627 Mamalahoa Hwy
Ste 106
Kealakekua, HI 96750
Phone (808) 322-8005
15-2866 Pahoa Village Rd
Bldg F
Pahoa, HI 96778
Phone (808) 825-8275
15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711
Networks
- HI PPO
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Kailua-Kona, HI
- NPI 1952335630
-
- Federally Qualified Health Center (FQHC)
- Pahoa, HI
- NPI 1861376907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1063824423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY",
"address_2": "STE 203",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401753",
"telephone_number": "808-326-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 NW BEAVER ST STE 101",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541802",
"telephone_number": "541-447-0707",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [
{
"address_1": "1250 SW Veterans Way Ste 120",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977562585",
"country_code": "US",
"telephone_number": "541-923-4462",
"fax_number": "541-383-1883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "1733",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201700943NP-PP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500720837",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.