Individual provider Active NPI

Susan E Rice, NURSE PRACTITIONER

  • Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1316649189
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33294 Issued in TN
Practice address
8040 Wolf River Blvd Ste 200
Germantown, TN 38138-1775
Phone
(901) 726-0200
Fax
(901) 278-3050
NPI assigned
Mar 17, 2023
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33294 TN Primary
Nurse Practitioner 363L00000X 905772 MS

Addresses

Primary practice location

8040 Wolf River Blvd Ste 200
Germantown, TN 38138-1775

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 226-4003

Other practice location 1

1995 Highway 51 S Ste 204
Covington, TN 38019-3655
Phone (901) 475-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515000316 TN Practitioner - Nurse Practitioner 9335505551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 726-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
905772MSMDNurse Practitioner
33294TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health Partners LLC CurrentSince Apr 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 24, 2024 Accepting new patients
Baptist Minor Medical Centers Inc CurrentSince Jun 24, 2024 Accepting new patients
BMC - Attala, LLC PastSince Mar 17, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. PastSince Mar 17, 2024 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1500 W Poplar Ave
Ste 202
Collierville, TN 38017
Phone (901) 861-5111

670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

1717 W Massey Rd
Memphis, TN 38120
Phone (901) 227-2550

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

3295 Poplar Ave
Ste 105
Memphis, TN 38111
Phone (901) 327-8188

6025 Walnut Grove Rd
Ste 627
Memphis, TN 38120
Phone (901) 763-1695

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

8040 Wolf River Blvd
Ste 102
Memphis, TN 38138
Phone (901) 227-7900

8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: srice622510@direct.bmhcc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1316649189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381775",
            "telephone_number": "901-726-0200",
            "fax_number": "901-278-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Highway 51 S Ste 204",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193655",
            "country_code": "US",
            "telephone_number": "901-475-5305",
            "fax_number": "901-475-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33294",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.