Active NPI
Susan Carroll Hill, ARNP
- Family Nurse Practitioner
- Mount Vernon, WA
National Provider Identifier
1124002563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 025804 AP30000064
- Practice address
- 2116 E Section St
Mount Vernon, WA 98274-9124 - Phone
- (360) 428-1700
- Fax
- (360) 848-4350
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 025804 AP30000064 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP30000064 | WA |
Addresses
Primary practice location
2116 E Section St
Mount Vernon, WA 98274-9124
Mailing address
912 32ND St
Anacortes, WA 98221-3473
Phone (360) 293-4343
Other practice location 1
912 32nd St
Anacortes, WA 98221-3473
Phone (360) 293-4343
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532300002 | Other | GROUP HEALTH | |
| 8937842 | Other | CRIME VICTIMS | |
| 912109329 | Other | PREMERA BLUE CROSS | |
| 912109329 | Other | TRIWEST | |
| 912109329 | Other | TAX ID | |
| 5403262 | Other | CCN | |
| 5782HI | Other | REGENCE BLUE SHIELD | |
| 912109329 | Other | UNIFORM | |
| 912109329 | Other | FIRST CHOICE | |
| 0152515 | Other | LABOR AND INDUSTRIES | |
| 912109329 | Other | CIGNA BEECH ST | |
| 9630278 | Other | DSHS | |
| 98250A002 | Other | TRIWEST |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000064 | WA | MD | Nurse Practitioner |
| 025804 AP30000064 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Healthcare Associates PLLC | Past | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Past | Accepting new patients |
Interoperability endpoints
- shill@islandinternalmedicine.direct.min-ns.md
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.
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1164447850
-
- Rural Health Clinic/Center
- Friday Harbor, WA
- NPI 1356326565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1124002563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 32ND ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213473",
"telephone_number": "360-293-4343",
"fax_number": "360-588-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 E SECTION ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982749124",
"telephone_number": "360-428-1700",
"fax_number": "360-848-4350"
}
],
"practiceLocations": [
{
"address_1": "912 32nd St",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982213473",
"country_code": "US",
"telephone_number": "360-293-4343",
"fax_number": "360-588-1587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "SUSAN",
"middle_name": "CARROLL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "025804 AP30000064",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30000064",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "532300002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8937842",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5403262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "5782HI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIFORM",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CHOICE",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0152515",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEECH ST",
"identifier": "912109329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "9630278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "98250A002",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.