Suzanne Korum, ARNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP1853762 Issued in FL

Practice address

20 Cypress Point Pkwy Ste a
Palm Coast, FL 32164-7528

Phone

(386) 586-7005

Fax

(844) 867-3940

NPI assigned

Sep 2, 2013

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne McNeal Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Palm Harbor Family Practice and Walk in Clinic PA

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1831311810
  Medicare reassignment NPD

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1093149569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CYPRESS POINT PKWY STE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647528",
            "telephone_number": "386-586-7005",
            "fax_number": "844-867-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORUM",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1853762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.korum@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Hospital Dr Ste 125",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321642455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MCNEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Knight
• Leigh Kobelin, R PH C PH
• Cameron Matthew Kocan, DMD
• Joseph C Kolaitis, PTA
• Marwan Koleilat, RPH
• Samantha Marie Kostello
• Jeff Kramer, CPRP, CAP
• Michael Kranz, PT,OT
• Yelena Krayter
• Leopold Kretsch, M.D.

• Adult Health Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.

Verify at the official NPI Registry.