Suzanne P Straub, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

904 Issued in AK

Practice address

11470 Business Blvd
Ste 100
Eagle River, AK 99577-7721

Phone

(907) 622-4325

Fax

(907) 622-4326

NPI assigned

Jan 30, 2007

Last updated

Apr 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Acute Family Medicine Clinic Inc

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1679704688
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1154467520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 BUSINESS BLVD",
            "address_2": "STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777721",
            "telephone_number": "907-622-4325",
            "fax_number": "907-622-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 BUSINESS BLVD",
            "address_2": "STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777721",
            "telephone_number": "907-622-4325",
            "fax_number": "907-622-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "SUZANNE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AK",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynde Stearns, FNP-C
• Stefanie Summers, LTD
• Sarah Jean Stengle, DPT
• D'Yondre Xavier Stephen
• Jade Stovall
• Shelby Lynn Sturgis
• Terri Jean Sullivan
• Stefanie Lynn Summers, LCSW
• Summit Dental Lab, Inc
• Summit Sunrise Counseling LLC

• Adult Health Nurse Practitioner in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Adult Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.