Individual provider Active NPI

Suzanne E. Strauss, PNP

  • Pediatric Nurse Practitioner
  • Brooklyn Park, MN
National Provider Identifier
1255309373
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R128225-4 Issued in MN
Practice address
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Phone
(763) 425-1211
Fax
(763) 425-6277
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R128225-4 MN Primary

Addresses

Primary practice location

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720

Mailing address

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Phone (763) 425-1211

Other identifiers 1

IdentifierTypeStateIssuer
583818500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050926000143 MN Practitioner - Nurse Practitioner 3577597988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R128225-4MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic Network CurrentSince Jan 1, 2015 Accepting new patients
Children'S Clinic Network CurrentSince Jan 1, 2015 Accepting new patients
Children'S Clinic Network Current Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Metropolitan Pediatric Specialists, P.a. Past Accepting new patients
Partners in Pediatrics, LTD. Past Accepting new patients

Locations

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone (763) 425-1211

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1255309373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433720",
            "telephone_number": "763-425-1211",
            "fax_number": "763-425-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433720",
            "telephone_number": "763-425-1211",
            "fax_number": "763-425-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "SUZANNE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R128225-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "583818500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.