Active NPI
Susan M Musal, CNP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 223527
- Practice address
- 3611 W Cobbs PL
Tucson, AZ 85745-9653 - Phone
- (440) 668-6797
- NPI assigned
- Sep 21, 2006
- Last updated
- Sep 15, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005873 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.06464-NP | OH | MD | Nurse Practitioner |
| 223527 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Heart, PLLC | Current | Accepting new patients | |
| TMC Urgent Care | Current | Accepting new patients | |
| Phoenix Heart, PLLC | Family | Current | Accepting new patients |
| Hassan Kafri MD, Inc. | Current | Accepting new patients | |
| Apex Cardiology Consultants | Current | 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
- https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
- 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.
-
- Specialist
- Inglewood, CA
- NPI 1881669489
-
- Interventional Cardiology Physician
- La Mesa, CA
- NPI 1760626477
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
-
- Family Nurse Practitioner
- University HTS, OH
- NPI 1538257985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.