Individual provider Active NPI

Susan H Krieger, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fort Myers, FL
National Provider Identifier
1285961458
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD460444 Issued in PA
Practice address
9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone
(813) 871-8111
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD460444 PA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD460444 PA Primary

Addresses

Primary practice location

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Mailing address

2134 Sandy Dr Ste 16
State College, PA 16803-2292
Phone (814) 272-5805

Other practice location 1

1850 E Park Ave Ste 201
State College, PA 16803-6706
Phone (814) 234-8800

Other practice location 2

2134 Sandy Dr Ste 16
State College, PA 16803-2292
Phone (814) 272-5805

Other practice location 3

2134 Sandy Dr Ste 16
State College, PA 16803-2292
Phone (814) 272-5805

Other identifiers 4

IdentifierTypeStateIssuer
50150528OtherPACAPITAL BC
103302115MedicaidPA
6498247OtherPACIGNA
1285961458OtherPAHIGHMARK

Other names 1

  • Dr. Susan E Krieger Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHK110PCS@M1526.primeclinicalsystems.direct-ci.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127001181 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pediatric Medicine 9638207400 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Current Accepting new patients
Cornerstone Health Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Centre Geriatric Care, LLC Internal Medicine CurrentSince Oct 31, 2021 Accepting new patients
Cornerstone Health Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Chapters Health Palliative Care, LLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jul 18, 2012 Accepting new patients
Hope Hospice and Community Services, Inc CurrentSince Jan 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Dec 1, 2010 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jul 18, 2012 Accepting new patients

Locations

16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300

9470 Healthpark Cir
Fort Myers, FL 33908
Phone (239) 433-8073

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

4266 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-5200

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

2445 Lane Park Rd
Tavares, FL 32778
Phone (866) 280-9355

12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678

12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

2134 Sandy Dr
Ste 16
State College, PA 16803

Interoperability endpoints

  • Direct secure messaging: susan.krieger.1@22792.direct.athenahealth.com
  • Direct secure messaging: shk110pcs@m1526.primeclinicalsystems.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hope Comfort CareFort Myers, FL, CCN 101516 Hospice W-2 Managing Employee Jan 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1285961458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 SANDY DR STE 16",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032292",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "813-871-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-234-8800",
            "fax_number": "814-235-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2134 Sandy Dr Ste 16",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032292",
            "country_code": "US",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2134 Sandy Dr Ste 16",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032292",
            "country_code": "US",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "SUSAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460444",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD460444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50150528",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103302115",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6498247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1285961458",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHK110PCS@M1526.primeclinicalsystems.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2134 Sandy Dr Ste 16",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168032292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KRIEGER",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.