Individual provider Active NPI

Suzanne M. Paszkowski, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1275550113
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP1617422 Issued in FL
Practice address
1551 Clay St
Winter Park, FL 32789-5499
Phone
(877) 646-2546
NPI assigned
Jul 16, 2006
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1617422 FL
Family Nurse Practitioner 363LF0000X 5006152 NC
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP1617422 FL Primary

Addresses

Primary practice location

1551 Clay St
Winter Park, FL 32789-5499

Mailing address

1551 Clay St
Winter Park, FL 32789-5499
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
203555819OtherNCTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20070720000096 FL Practitioner - Nurse Practitioner 7012018088 Reassigns benefits to 2 organizations
I20130604000654 NC Practitioner - Nurse Practitioner 7012018088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1617422FLMDFamily Nurse Practitioner
5006152NCMDFamily Nurse Practitioner
ARNP1617422FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC CurrentSince Dec 30, 2017 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Jun 24, 2023 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince Jun 24, 2023 Accepting new patients
Ashe Financial Services, LLC CurrentSince Jan 27, 2023 Accepting new patients
Ashe Financial Services, LLC CurrentSince Jan 27, 2023 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Apr 22, 2013 Accepting new patients

Locations

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

1551 Clay St
Winter Park, FL 32789
Phone (407) 644-5371

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Organizations & group practices 7

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1275550113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CLAY ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895499",
            "telephone_number": "813-286-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 CLAY ST",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895499",
            "telephone_number": "877-646-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASZKOWSKI",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1617422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006152",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP1617422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203555819",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.