Individual provider Active NPI

Susan Elizabeth Ward, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
National Provider Identifier
1275816787
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3535 Issued in NC
Practice address
2131 S 17TH St
New Hanover Regional Medical Center Anesthesia Dept.
Wilmington, NC 28401-7407
Phone
(910) 772-9202
Fax
(910) 772-9452
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 175918 NC
Certified Registered Nurse Anesthetist 367500000X 3535 NC Primary

Addresses

Primary practice location

2131 S 17TH St
New Hanover Regional Medical Center Anesthesia Dept.
Wilmington, NC 28401-7407

Mailing address

5704 Woodduck Cir
Wilmington, NC 28409-3949
Phone (989) 614-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111206000443 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305011198 Reassigns benefits to 2 organizations
I20210921000165 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305011198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health New Hanover Regional Medical Center LLCGroup PAC ID 7113330168, 204 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175918NCMDCertified Registered Nurse Anesthetist
3535NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Memorial Hospital, Incorporated CurrentSince Jul 13, 2024 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Aug 17, 2021 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Aug 17, 2021 Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Jul 13, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1275816787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 WOODDUCK CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093949",
            "telephone_number": "989-614-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "address_2": "NEW HANOVER REGIONAL MEDICAL CENTER ANESTHESIA DEPT.",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-772-9202",
            "fax_number": "910-772-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2023-08-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "175918",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.