Active NPI
Susan Marie Miller, FNP-C
- Primary Care Nurse Practitioner
- Fort Gibson, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 115364
- Practice address
- 104 Lone Oak Cir
Fort Gibson, OK 74434-5001 - Phone
- (918) 478-2101
- Fax
- (918) 478-6008
- NPI assigned
- Aug 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 115364 | OK | Primary |
Addresses
Primary practice location
104 Lone Oak Cir
Fort Gibson, OK 74434-5001
Mailing address
104 Lone Oak Cir
Fort Gibson, OK 74434-5001
Phone (918) 478-2101
Other names 1
- Susan Marie Loneman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5800 W Okmulgee St
Muskogee, OK 74401-4552
Phone (918) 683-2914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Rehab Consultants PLLC | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Tahlequah Medical Group LLC | Past | Accepting new patients | |
| Northeastern Health System | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
920 E 16th St
Claremore, OK 74017
Phone (918) 341-1717
1401 N Garland Rd
Enid, OK 73703
Phone (580) 234-2526
5800 W Okmulgee St
Muskogee, OK 74401
Phone (918) 683-2914
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
OK
-
- Emergency Medicine Physician
- Tahlequah, OK
- NPI 1457574170
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
- Psychiatric Hospital Unit
- Tahlequah, OK
- NPI 1619031465
-
- Family Medicine Physician
- Tahlequah, OK
- NPI 1881960771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1194134858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LONE OAK CIR",
"city": "FORT GIBSON",
"state": "OK",
"postal_code": "744345001",
"telephone_number": "918-478-2101",
"fax_number": "918-478-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LONE OAK CIR",
"city": "FORT GIBSON",
"state": "OK",
"postal_code": "744345001",
"telephone_number": "918-478-2101",
"fax_number": "918-478-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "115364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LONEMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Gibson, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.