Susan Mims

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2500 N Esplanade St
Suite 101
Cuero, TX 77954-4723

Phone

(361) 275-2381

NPI assigned

May 3, 2016

Last updated

Sep 29, 2021By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dewitt Medical DistrictGroup PAC ID 3072421395, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cuero Home Health Inc Home health agency, Cuero, TX, CCN 457696
• Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanmims@dmdclinic.allscriptsdirect.net

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.

• Dewitt Medical District

  dba Cuero Regional Hospital

  • Emergency Medicine Physician
  • Cuero, TX
  • NPI 1366532608
  Medicare reassignment Care Compare group NPD
• Dewitt Medical District

  dba Oakmont Healthcare and Rehabilitation Center of Katy

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1053511980
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Dewitt Medical District

  dba Parkside Family Clinic

  • Rural Health Clinic/Center
  • Cuero, TX
  • NPI 1659770030
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cuero Home Health, Inc.

  • Home Health Agency
  • Cuero, TX
  • NPI 1477310506
  Care Compare affiliation
• Dewitt Medical District

  dba Cuero Regional Hospital

  • Rural Acute Care Hospital
  • Cuero, TX
  • NPI 1437148020
  Care Compare affiliation

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1124473616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N ESPLANADE ST",
            "address_2": "STE 102",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544727",
            "telephone_number": "361-275-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ESPLANADE ST",
            "address_2": "SUITE 101",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544723",
            "telephone_number": "361-275-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala Marie Mabry, PT, DPT
• William Michael Marshall
• Timothy R McFarland, M.D.
• Hannah Alyse McGee
• Justin Meisetschleager
• Tam Huu Ngo, BD, DMD
• Shane Thanhsang Nguyen
• Kimberly Niitzel, OTR/L
• Parkside Family Clinic, PA
• David Ronald Polasek, RPH

• Physician Assistant in Cuero, TX
• Providers in Cuero, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.