Active NPI
Susan M Knoerr, DNP,FNP
- Family Nurse Practitioner
- Beaverton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704263834
- Practice address
- 439 S Ross St
Beaverton, MI 48612-9101 - Phone
- (989) 246-3500
- NPI assigned
- Oct 2, 2014
- Last updated
- Oct 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704263834 | MI | Primary |
Addresses
Primary practice location
439 S Ross St
Beaverton, MI 48612-9101
Mailing address
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122
Other names 1
- Susan M Corbin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704263834 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients |
Locations
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
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.
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Internal Medicine Physician
- Midland, MI
- NPI 1629027669
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1275936445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 W LAKE CITY RD",
"city": "HOUGHTON LAKE",
"state": "MI",
"postal_code": "486299602",
"telephone_number": "989-422-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 S ROSS ST",
"city": "BEAVERTON",
"state": "MI",
"postal_code": "486129101",
"telephone_number": "989-246-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOERR",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "DNP,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704263834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CORBIN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.