Individual provider Active NPI

Susanne Clare Wheeler, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1093952418
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28093785A Issued in IN
Practice address
1725 N 5TH St
Terre Haute, IN 47804-4010
Phone
(812) 242-3005
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28093785A IN Primary

Addresses

Primary practice location

1725 N 5TH St
Terre Haute, IN 47804-4010

Mailing address

1725 N 5TH St
Terre Haute, IN 47804-4010
Phone (812) 242-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20231006000874 IN Practitioner - Nurse Practitioner 2264578814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1725 N 5TH St
Apands Clinic Bone and Joint Center
Terre Haute, IN 47804-4010
Phone (812) 242-3005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28093785AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Oct 9, 2023 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1530 N 7th St
Ste 200
Terre Haute, IN 47807
Phone (812) 238-7631

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

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.

Hospital & facility affiliations 3

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1093952418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SUSANNE",
        "middle_name": "CLARE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28093785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.