Susan Lara Albright, ANP
Individual provider Active NPI Family Nurse Practitioner · Grants Pass, OR
NPI 1265739742 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1265739742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201501648NP (OR)
- Practice address
- 537 Union Ave
Grants Pass, OR 97527-5543 - Phone
- (541) 507-2170
- NPI assigned
- Feb 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icco LLC
Practice addresses (Care Compare)
1740 NW Goetz St
Roseburg, OR 97471-1613
Phone (541) 672-4885
1755 SW Baker St
McMinnville, OR 97128-9112
Phone (971) 900-4522
1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760
1841 E Barnett Rd
Medford, OR 97504-8249
Phone (541) 216-7291
1890 NW 6TH St
Grants Pass, OR 97526-1038
Phone (541) 507-0684
3737 Shasta Way
Suite a
Klamath Falls, OR 97603-4982
Phone (541) 640-7625
4040 W 11TH Ave
Suite B
Eugene, OR 97402-5601
Phone (541) 500-2500
598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473
Hospital & facility affiliations
- Asante Three Rivers Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623001729 | OR | Practitioner - Nurse Practitioner | 8123216058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12204-NP | OH | MD | Family Nurse Practitioner |
| 201501648NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current |
Accepting new patients | |
| Crawford Health Center, LLC | Current |
Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Northwest Family Practice LLC | Past | Accepting new patients |
Locations
1820 E Mansfield St
Bucyrus, OH 44820
Phone (419) 524-8151
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
Interoperability endpoints
- susanalbright@acmgllc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.12204-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 201501648NP | OR | Yes |
Addresses
Primary practice location
537 Union Ave
Grants Pass, OR 97527-5543
Mailing address
2825 E Barnett Rd Ofc
Medford, OR 97504-8332
Phone (541) 789-8176
Other practice location 1
1890 NW 6th St
Grants Pass, OR 97526-1038
Phone (541) 507-0684
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500686240 | Medicaid | OR |
Other providers in Grants Pass, OR
- Alvin H. L. Ahlstrom
- Crystal Ahlstrom
- Hala Mohamed Aly Ahmed
- Albertsons LLC
- David S Albrecht
- Michelle Donna Alcala
- Selena Rose Alderson
- Rachel Alexanian
- Allcare Cco, Inc.
- Allcare Medical Group LLC
All providers in Grants Pass, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.