Active NPI
Susan Brandenburg, NP
- Nurse Practitioner
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71014940A
- Practice address
- 1515 N Madison Ave
Anderson, IN 46011-3453 - Phone
- (765) 298-4242
- NPI assigned
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71014940A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 71014940A | IN |
Addresses
Primary practice location
1515 N Madison Ave
Anderson, IN 46011-3453
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
523 S State Road 67
Mooresville, IN 46158-2792
Phone (866) 389-2727
Other names 1
- Susan Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250206002516 | IN | Practitioner - Nurse Practitioner | 0547790404 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostics of Indiana LLC
Practice addresses (Care Compare)
523 S State Rd
Suite 67
Mooresville, IN 46158-2792
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014940A | IN | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostics of Indiana, LLC | Family | Current | Accepting new patients |
| Kare Clinic | Past | Accepting new patients |
Locations
9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353
288 Southbridge St
Mooresville, IN 46158
Phone (317) 831-2261
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Zionsville, IN
- NPI 1932171634
Family, IN
-
- Internal Medicine Physician
- Bloomington, IN
- NPI 1255857926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1255196838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N MADISON AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460113453",
"telephone_number": "765-298-4242"
}
],
"practiceLocations": [
{
"address_1": "523 S State Road 67",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461582792",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "SUSAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014940A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014940A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BAKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.