Individual provider Active NPI

Suzan C Robarge, RN NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Joseph, MI
National Provider Identifier
1104848530
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704141653 Issued in MI
Practice address
1030 Miners Rd
Saint Joseph, MI 49085-9625
Phone
(269) 408-1688
Fax
(269) 408-1692
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704141653 MI Primary

Addresses

Primary practice location

1030 Miners Rd
Saint Joseph, MI 49085-9625

Mailing address

1030 Miners Rd
Saint Joseph, MI 49085-9625
Phone (269) 408-1688

Other identifiers 1

IdentifierTypeStateIssuer
4621834MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000209 MI Practitioner - Nurse Practitioner 3375691595 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians
Training and Treatment Innovations IncGroup PAC ID 1557323144, 18 clinicians
Viewpoint Psychology and Wellness LLCGroup PAC ID 0749561736, 10 clinicians

Practice addresses (Care Compare)

13213 E 14 Mile Rd
Sterling Heights, MI 48312-6302
Phone (855) 996-2264

1450 S Lapeer Rd
Oxford, MI 48371-6108
Phone (248) 969-9932

2045 E W Maple Rd
Suite D405
Commerce Township, MI 48390-3801
Phone (248) 669-9500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Training & Treatment Innovations Inc CurrentSince Apr 1, 2016 Accepting new patients
Training and Treatment Innovations Inc CurrentSince Apr 1, 2016 Accepting new patients
County of Macomb CurrentSince Feb 9, 2025 Accepting new patients
County of Macomb CurrentSince Feb 9, 2025 Accepting new patients
Psychiatric and Psychological Specialties PastSince May 14, 2023 Accepting new patients
Psychiatric Specialties, PLC PastSince Nov 13, 2022 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

13213 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 939-4374

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

Interoperability endpoints

  • Direct secure messaging: srobarge@tti.adaptamed.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1104848530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-408-1688",
            "fax_number": "269-408-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-408-1688",
            "fax_number": "269-408-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBARGE",
        "first_name": "SUZAN",
        "middle_name": "C",
        "credential": "RN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704141653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4621834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.