Individual provider Active NPI

Susan J Hulsemann, MD

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1356348718
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
86734 Issued in SC
Practice address
1086 N Monroe St
Monroe, MI 48162-3193
Phone
(734) 244-5380
Fax
(734) 244-5795
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301069503 MI
Family Medicine Physician 207Q00000X 35-078484 OH
Family Medicine Physician 207Q00000X 86734 SC Primary

Addresses

Primary practice location

1086 N Monroe St
Monroe, MI 48162-3193

Mailing address

1086 N Monroe St
Monroe, MI 48162-3193
Phone (734) 244-5380

Other practice location 1

122 Powell Dr
Lexington, SC 29072-9203
Phone (803) 957-8400

Other identifiers 3

IdentifierTypeStateIssuer
1356348718MedicaidMI
5908313MedicaidNC
2225032MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shulsemann147090@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090409000080 MI Practitioner - Family Practice 4082673629 Reassigns benefits to 1 organization
I20210917001674 SC Practitioner - Family Practice 4082673629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

935 W 2ND St
Swansea, SC 29160-8665
Phone (803) 568-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83734SCMDDermatology Physician
35-078484OHMDFamily Medicine Physician
86734SCMDFamily Medicine Physician
35078485OHMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Mercy Memorial Hospital Corporatio Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Sep 28, 2013 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Sep 28, 2013 Accepting new patients
Lexington Health Inc CurrentSince Oct 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1086 N Monroe St
Monroe, MI 48162
Phone (734) 244-5380

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

815 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 359-5181

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550

Interoperability endpoints

  • Direct secure messaging: shulsemann147090@direct.lexmed.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1356348718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-244-5380",
            "fax_number": "734-244-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-244-5380",
            "fax_number": "734-244-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Powell Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290729203",
            "country_code": "US",
            "telephone_number": "803-957-8400",
            "fax_number": "803-957-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSEMANN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301069503",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-078484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "86734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356348718",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908313",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225032",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shulsemann147090@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "122 Powell Dr",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290729203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.