Active NPI
Susan Catherine Warner, DPM
- Podiatrist
- Bloomfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00699
- Practice address
- 110 N. Dodge St.
Bloomfield, IA 52537-1463 - Phone
- (641) 664-3667
- Fax
- (641) 664-3549
- NPI assigned
- Nov 30, 2006
- Last updated
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00699 | IA | Primary |
Addresses
Primary practice location
110 N. Dodge St.
Bloomfield, IA 52537-1463
Mailing address
16896 Iris Blvd
Drakesville, IA 52552-8500
Phone (641) 664-3667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1191494 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428000778 | IA | Practitioner - Podiatry | 5698714657 | Practice locations: Centerville, IA; Ottumwa, IA; Knoxville, IA; Drakesville, IA; Bloomfield, IA; Albia, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-3482
110 N Dodge St
Bloomfield, IA 52537-1453
16896 Iris Blvd
Drakesville, IA 52552-8500
Phone (641) 664-1996
908 S Park Lane Dr
Knoxville, IA 50138-3176
Phone (641) 828-7878
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.16 of 100
- Quality
- 65.85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 191 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2235 |
| Removal or shaving of skin growth | 636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00699 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Care Center Inc | Past | Accepting new patients | |
| Homestead of Knoxville Operations LLC | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients | |
| Knoxville Community Hospital Inc | Past | Accepting new patients | |
| Ottumwa Regional Health Center Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Park Lane Village
- Assisted Living Facility
- Knoxville, IA
- NPI 1316161839
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba Knoxville Hospital & Clinics
- Family Medicine Physician
- Knoxville, IA
- NPI 1578570677
-
dba Monroe Care Center
- Nursing Facility/Intermediate Care Facility
- Albia, IA
- NPI 1174516595
-
dba Ottumwa Regional Home Care
- Home Health Agency
- Ottumwa, IA
- NPI 1750383055
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1295803229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16896 IRIS BLVD",
"city": "DRAKESVILLE",
"state": "IA",
"postal_code": "525528500",
"telephone_number": "641-664-3667",
"fax_number": "641-664-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N. DODGE ST.",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525371463",
"telephone_number": "641-664-3667",
"fax_number": "641-664-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "SUSAN",
"middle_name": "CATHERINE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "00699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1191494",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.