Individual provider Active NPI

Susan Barringer Smith, APRN, FNP-C, PNP-C

  • Nurse Practitioner
  • Ponchatoula, LA
National Provider Identifier
1154441251
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
05147 Issued in LA
Practice address
180 North 5TH Street
Benson Dermatology and Skin Cancer, LLC
Ponchatoula, LA 70454
Phone
(985) 370-7546
Fax
(985) 370-7765
NPI assigned
Mar 30, 2007
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 05147 LA Primary

Addresses

Primary practice location

180 North 5TH Street
Benson Dermatology and Skin Cancer, LLC
Ponchatoula, LA 70454

Mailing address

180 North 5TH Street
Benson Dermatology and Skin Cancer, LLC
Ponchatoula, LA 70454
Phone (985) 370-7546

Other identifiers 1

IdentifierTypeStateIssuer
1009407MedicaidLA

Other names 1

  • Susan Marie Barringer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110315000244 LA Practitioner - Nurse Practitioner 6800078619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Ponchatoula LLCGroup PAC ID 6103126974, 9 clinicians

Practice addresses (Care Compare)

180 N 5TH St
Ponchatoula, LA 70454-2532
Phone (985) 370-7546

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as individual
Quality
92.34
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05147LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Ponchatoula, LLC CurrentSince Oct 2, 2015 Accepting new patients
St. Martinville Physical Therapy Clinic PastSince Jun 1, 2015 Accepting new patients

Locations

309 Walnut St
Ste A
Amite, LA 70422
Phone (985) 247-2700

190 Greenbrier Blvd
Ste 103
Covington, LA 70433
Phone (985) 370-7546

180 N 5th St
Ponchatoula, LA 70454
Phone (985) 370-7546

146 W Pine St
Ponchatoula, LA 70454
Phone (985) 370-1762

148 W Pine St
Ponchatoula, LA 70454
Phone (985) 370-1762

29799 Walker Rd S
Walker, LA 70785
Phone (225) 998-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1154441251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTH 5TH STREET",
            "address_2": "BENSON DERMATOLOGY AND SKIN CANCER, LLC",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "telephone_number": "985-370-7546",
            "fax_number": "985-370-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTH 5TH STREET",
            "address_2": "BENSON DERMATOLOGY AND SKIN CANCER, LLC",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "70454",
            "telephone_number": "985-370-7546",
            "fax_number": "985-370-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "BARRINGER",
        "credential": "APRN, FNP-C, PNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "05147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009407",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BARRINGER",
            "middle_name": "MARIE",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.