Active NPI
Susan Mary Chen, APNP
- Family Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8135-33
- Practice address
- 210 W Capitol Dr
Milwaukee, WI 53212-1123 - Phone
- (414) 727-6320
- NPI assigned
- Sep 17, 2017
- Last updated
- Nov 13, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8135-33 | WI | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 85188-30 | WI |
Addresses
Primary practice location
210 W Capitol Dr
Milwaukee, WI 53212-1123
Mailing address
1075 Heather LN
Hartford, WI 53027-9045
Phone (262) 623-1194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone (414) 727-6320
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85188-30 | WI | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Community Health Centers, Inc. | Current | Accepting new patients | |
| Outreach Community Health Centers, Inc | Current | Accepting new patients |
Locations
210 W Capitol Dr
Glendale, WI 53212
Phone (414) 906-5306
220 W Capitol Dr
Glendale, WI 53212
Phone (414) 374-2400
3805B Spring St
Ste 140
Mount Pleasant, WI 53405
Phone (262) 637-0500
Interoperability endpoints
- schen105279@direct.ochin.org
- schen816666@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1710032669
-
dba Beloit Area Community Health Center
- Federally Qualified Health Center (FQHC)
- Beloit, WI
- NPI 1750390670
-
dba Outreach Community Health Ctr at Wellpoint Care Ntwk
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1558231563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1265951651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 HEATHER LN",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530279045",
"telephone_number": "262-623-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121123",
"telephone_number": "414-727-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SUSAN",
"middle_name": "MARY",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-17",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8135-33",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WI",
"license": "85188-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.