Susan L Peden, ARNP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A099502 Issued in IA

Practice address

88 Paine Cir Ste 4
Bondurant, IA 50035-1449

Phone

(515) 348-6383

NPI assigned

Jun 7, 2018

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bondurant Dermatology, PLC

  • Dermatology Physician
  • Bondurant, IA
  • NPI 1902636558

  Single Specialty

  Medicare reassignment NPD Authorized official
• Iowa Family Practice, LLC

  • Family Nurse Practitioner
  • Washington, IA
  • NPI 1801379987

  Single Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1356834113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MALLARD POINTE DR NW",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351348",
            "telephone_number": "515-205-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PAINE CIR STE 4",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351449",
            "telephone_number": "515-348-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Mallard Pointe Dr NW",
            "address_purpose": "LOCATION",
            "city": "Bondurant",
            "state": "IA",
            "postal_code": "500351348",
            "country_code": "US",
            "telephone_number": "515-205-4571",
            "fax_number": "319-774-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A099502",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "A099502",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A099502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Murray, RE
• Steven Alan Neville, DDS
• NLC Harmel Inc.
• Nlcanada, Inc (Bondurant Chiropractic)
• Marybeth O'Hara, DC
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Skylar Dawn Poffenberger, RN
• Prairie City Family Clinic
• Reil Performance, LLC
• Christopher William Reil

• Dermatology Physician in Bondurant, IA
• Providers in Bondurant, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.