Susan Nilsen Walsh, FNP
Individual provider Active NPI Family Nurse Practitioner · Hoopa, CA
NPI 1306915418 · NPPES record last updated Apr 27, 2011
Key facts
- NPI
- 1306915418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP11681 (CA)
- Practice address
- 1200 Airport Road
Hoopa, CA 95546 - Phone
- (530) 625-4261
- Fax
- (530) 625-5171
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kima-W Medical Center
Practice addresses (Care Compare)
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
PO Box
Suite 1288
Hoopa, CA 95546-1288
Hospital & facility affiliations
- Providence St Joseph Hospital
- Mad River Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050923000961 | CA | Practitioner - Nurse Practitioner | 6800820234 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11681 | CA | MD | Massage Therapist |
| NP11681 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Current |
Accepting new patients | |
| K'Ima:W Medical Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP11681 | CA | Yes |
Addresses
Primary practice location
1200 Airport Road
Hoopa, CA 95546
Mailing address
PO Box 1221
2000 Friday Ridge Road
Willow Creek, CA 95573
Phone (530) 629-3515
Other providers in Hoopa, CA
All providers in Hoopa, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.