Individual provider Active NPI

Susan Marie Miller, FNP-C

  • Primary Care Nurse Practitioner
  • Fort Gibson, OK
National Provider Identifier
1194134858
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
115364 Issued in OK
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

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304001762 OK Practitioner - Nurse Practitioner 8921324245 Reassigns benefits to 2 organizations

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
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

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

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Aug 6, 2025 Accepting new patients
Northeastern Health System CurrentSince Apr 5, 2020 Accepting new patients
Northeastern Health System Current Accepting new patients
Northeastern Health System CurrentSince Apr 5, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.