Individual provider Active NPI

Susan D Pappas, CRNP

  • Family Nurse Practitioner
  • Eden, NC
National Provider Identifier
1083799118
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R059207 Issued in MD
Practice address
515 Thompson St Ste D
Eden, NC 27288-5040
Phone
(336) 627-5178
Fax
(336) 627-0727
NPI assigned
Oct 26, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R059207 MD Primary

Addresses

Primary practice location

515 Thompson St Ste D
Eden, NC 27288-5040

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other identifiers 1

IdentifierTypeStateIssuer
416294300MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spappas473421@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080403000323 DC Practitioner - Nurse Practitioner 2466538434 Reassigns benefits to 3 organizations
I20190402002171 NC Practitioner - Nurse Practitioner 2466538434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2201 Old NC Hwy 86
Hillsborough, NC 27278-8785
Phone (919) 732-2909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 2, 2016 Accepting new patients
Kentlands Medical Associates P.C CurrentSince Sep 4, 2014 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Unc Physicians Network, LLC CurrentSince Dec 15, 2018 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 15, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 2, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

208 Main St
Ste 100
Gaithersburg, MD 20878
Phone (240) 632-0333

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1201 Seven Locks Rd
Ste 111
Rockville, MD 20854
Phone (301) 762-5020

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

515 Thompson St
Ste D
Eden, NC 27288
Phone (336) 627-5178

2201 Old NC Highway 86
Hillsborough, NC 27278
Phone (910) 818-4606

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: spappas473421@direct.unc.nchie.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1083799118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 THOMPSON ST STE D",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885040",
            "telephone_number": "336-627-5178",
            "fax_number": "336-627-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R059207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416294300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spappas473421@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "515 Thompson St Ste D",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.