Susan Gail Spell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9353692 Issued in FL

Practice address

1539 Parental Home Rd
Jacksonville, FL 32216-3009

Phone

(904) 290-6028

NPI assigned

Dec 10, 2008

Last updated

Feb 3, 2025By 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

Other names 1

• Susan Zucker Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sspell@org177.direct.charmhealth.com
• Direct secure messaging: sspell41027@direct.nemours.org
• Direct secure messaging: sspell774102@direct.shands.ufl.edu

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.

• William Nields, PLLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1780240754
  NPD
• Marathon Health LLC

  • General Practice Physician
  • St Augustine, FL
  • NPI 1548892961
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1205071875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BELL BRANCH LN",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594440",
            "telephone_number": "252-235-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 PARENTAL HOME RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163009",
            "telephone_number": "904-290-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 International Golf Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320920665",
            "country_code": "US",
            "telephone_number": "904-671-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELL",
        "first_name": "SUSAN",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9353692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ZUCKER",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Speech World, LLC
• Gabriel Speed, MA, LMHC
• Janet Speer, ARNP
• Leigh Speicher, MD
• Abigail Lynn Speights
• Sarah Catherine Spelsberg, MD, FAWM, FEWM, PAC
• Alexandra Marie Spence, APRN
• Amanda Marie Spence, CPNP-PC
• Danielle Alexandria Spence, APRN
• Kimberly Spence

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.