Active NPI
Susan Jennifer Lint-Pirtle, PHYSICIAN ASSISTANT
- Physician Assistant
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004412
- Practice address
- 279 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 745-4900
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004412 | MI | Primary |
Addresses
Primary practice location
279 Summit Dr
Waterford, MI 48328-3364
Mailing address
15465 Farmbrook Estates Dr
Macomb, MI 48044-1930
Phone (586) 292-5886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.cnsmi@direct.mihn.net | Direct | CNS Healthcare |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12800 E Warren Ave
Detroit, MI 48215-2061
Phone (313) 308-1400
15560 Joy Rd
Detroit, MI 48228-8200
Phone (313) 668-9300
20303 Kelly Rd
Detroit, MI 48225-1206
Phone (248) 745-4900
24230 Karim Blvd
Suite 100
Novi, MI 48375-2960
Phone (248) 745-4900
36975 Utica Rd
Clinton Township, MI 48036-1685
Phone (586) 226-3440
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 73.88
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 78.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004412 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Center Community Mental Health Services | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients | |
| Macomb Family Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- slintpirtle241497@direct.hfhs.org
- https://api.qualifacts.org/api/fhir/macombfamily/r4/
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Novi, MI
- NPI 1770538068
-
- Clinical Social Worker
- Clinton Township, MI
- NPI 1831190701
-
- Clinical Social Worker
- Clinton Township, MI
- NPI 1326599036
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1306864129
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1588672091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1073679486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15465 FARMBROOK ESTATES DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480441930",
"telephone_number": "586-292-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-745-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINT-PIRTLE",
"first_name": "SUSAN",
"middle_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004412",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.cnsmi@direct.mihn.net",
"affiliation": "Y",
"affiliationName": "CNS Healthcare",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "24230 Karim Blvd",
"address_2": "Suite 100",
"city": "Novi",
"state": "MI",
"country_code": "US",
"postal_code": "483752960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.