Susan M Moore, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

45833 Issued in KS

Practice address

1418 S Main St Ste 1
Ottawa, KS 66067-3544

Phone

(785) 229-3561

Fax

(785) 229-3529

NPI assigned

Aug 29, 2006

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

Other names 1

• Susan M Ward Other name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of Franklin

  • Public Health or Welfare Agency
  • Ottawa, KS
  • NPI 1770586976
  Medicare reassignment NPD
• Health Partnership Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Olathe, KS
  • NPI 1346820958
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1245348267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST STE 1",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673544",
            "telephone_number": "785-229-3561",
            "fax_number": "785-229-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST STE 1",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673544",
            "telephone_number": "785-229-3561",
            "fax_number": "785-229-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45833",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "45833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WARD",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chad Steven Mies, OD
• Gena Milburn, PHARMD
• Gene Milburn, RPH
• Jennifer L Miller, FNP-C
• Michelle Ann Mook, OTR/L
• Daniel Morgan
• Kelsey Morris, LPC
• Robin Nagy
• Natania Renae Manning
• Christopher R Nesmith, PHARMD

• Acute Care Nurse Practitioner in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.

Verify at the official NPI Registry.