Individual provider Active NPI

Susanne L Porter, NP

  • Nurse Practitioner
  • Orange, CA
National Provider Identifier
1215924592
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP14777 Issued in CA
Practice address
280 S Main St
Ste 200
Orange, CA 92868-3852
Phone
(714) 634-4567
Fax
(714) 634-4569
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP14777 CA Primary

Addresses

Primary practice location

280 S Main St
Ste 200
Orange, CA 92868-3852

Mailing address

PO Box 905
Orange, CA 92856-6905

Other names 1

  • Susanne L Snellgrove Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040324001236 CA Practitioner - Nurse Practitioner 4385535509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16300 Sand Canyon Ave
Suite 511
Irvine, CA 92618-3705
Phone (714) 634-4567

Hospital & facility affiliations

  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
48.62
Promoting interoperability
94
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP14777CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialty Institute Medical Group of Orange County CurrentSince Feb 1, 2004 Accepting new patients

Locations

16300 Sand Canyon Ave
Ste 511
Irvine, CA 92618
Phone (949) 255-9890

280 S Main St
Ste 200
Orange, CA 92868
Phone (714) 937-2155

363 S Main St
Ste 220
Orange, CA 92868
Phone (714) 937-2193

Interoperability endpoints

  • Direct secure messaging: sporter@direct.osiortho.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1215924592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "address_2": "STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683852",
            "telephone_number": "714-634-4567",
            "fax_number": "714-634-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SUSANNE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNE",
            "last_name": "SNELLGROVE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.