Individual provider Active NPI

Susan M Musal, CNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1255430187
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223527 Issued in AZ
Practice address
3611 W Cobbs PL
Tucson, AZ 85745-9653
Phone
(440) 668-6797
NPI assigned
Sep 21, 2006
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.06464-NP OH
Family Nurse Practitioner 363LF0000X 223527 AZ Primary
Health Educator 174H00000X NU

Addresses

Primary practice location

3611 W Cobbs PL
Tucson, AZ 85745-9653

Mailing address

3611 W Cobbs PL
Tucson, AZ 85745-9653
Phone (440) 668-6797

Other identifiers 1

IdentifierTypeStateIssuer
005873MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200825002384 AZ Practitioner - Nurse Practitioner 3072615681 Reassigns benefits to 1 organization
I20241009002427 CA Practitioner - Nurse Practitioner 3072615681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Cardiology ConsultantsGroup PAC ID 0345226767, 8 clinicians

Practice addresses (Care Compare)

501 E Hardy St
Suite 200
Inglewood, CA 90301-4057
Phone (310) 672-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.06464-NPOHMDNurse Practitioner
223527AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC CurrentSince Dec 19, 2023 Accepting new patients
TMC Urgent Care CurrentSince Aug 4, 2024 Accepting new patients
Phoenix Heart, PLLC Family CurrentSince Dec 19, 2023 Accepting new patients
Hassan Kafri MD, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Apex Cardiology Consultants CurrentSince Sep 1, 2024 Accepting new patients
Prosearch Healthcare Inc Family Past Accepting new patients

Locations

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

501 E Hardy St
Ste 200
Inglewood, CA 90301
Phone (310) 672-3900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70734

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1255430187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 W COBBS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459653",
            "telephone_number": "440-668-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 W COBBS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459653",
            "telephone_number": "440-668-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSAL",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.06464-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223527",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005873",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.