Individual provider Active NPI

Susan C Hoovler, ARNP

  • Family Nurse Practitioner
  • Ashland, ME
National Provider Identifier
1104028281
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP81562 Issued in ME
Practice address
33 Walker St
Ashland, ME 04732-3429
Phone
(207) 827-6128
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X ARNP821072 FL
Family Nurse Practitioner 363LF0000X CNP81562 ME Primary

Addresses

Primary practice location

33 Walker St
Ashland, ME 04732-3429

Mailing address

33 Walker St
Ashland, ME 04732-3429
Phone (207) 945-5247

Other identifiers 1

IdentifierTypeStateIssuer
1104028281MedicaidME

Other names 1

  • Susan C. Fitz-William Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP821072FLMDLicensed Practical Nurse
CNP81562MEMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: susan.hoovler.1@11166.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1104028281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALKER ST",
            "city": "ASHLAND",
            "state": "ME",
            "postal_code": "047323429",
            "telephone_number": "207-945-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALKER ST",
            "city": "ASHLAND",
            "state": "ME",
            "postal_code": "047323429",
            "telephone_number": "207-827-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVLER",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "ARNP821072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104028281",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FITZ-WILLIAM",
            "middle_name": "C.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.