Susan M McMullen, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R137999 Issued in MD

Practice address

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Phone

(301) 689-3229

Fax

(301) 689-1129

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Memorial Hospital and Medical Center of Cumberland, Inc.

  dba Memorial Hosp Med Ctr Hosp

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1669437216
  NPD (past)
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Psychiatry Physician
  • Cumberland, MD
  • NPI 1285779884
  NPD (past)
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194858266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKESIDE LOOP",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267539730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R137999",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "55378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC Healthcare Operations LLC
• Melody McCune
• Dawn McKenney, COTA
• Liam Michael McKenzic
• Tyler Christian McKinney, DDS
• Mdics Rehabilitative Services - Ltcaco LLC
• Mdics Rehabilitative Services LLC
• Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Reed Erickson, M.D.)
• Jennifer Sue Miller, PA - C
• Lynn Miner

• Adult Health Nurse Practitioner in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.