Susan Jane Handke, ARNP
Individual provider Active NPI Nurse Practitioner · Sergeant Bluff, IA
NPI 1366442337 · NPPES record last updated Aug 10, 2015
Key facts
- NPI
- 1366442337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A068082 (IA)
- Practice address
- 319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729 - Phone
- (712) 943-2500
- Fax
- (712) 943-5696
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20051027001120 | IA | Practitioner - Nurse Practitioner | 1153348248 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A068082 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
319 Sergeant Square Dr
Sergeant Bluff, IA 51054
Phone (712) 943-2500
2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383
5885 Sunnybrook Dr
Ste E100
Sioux City, IA 51106
Phone (712) 266-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A068082 | IA | Yes |
Addresses
Primary practice location
319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Mailing address
319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Phone (712) 943-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0482851 | Medicaid | IA | |
| 19920 | Other | WELLMARK BCBS OF IOWA | |
| P00353507 | Other | MEDICARE RAILROAD | |
| 6830700 | Medicaid | SD |
Other providers in Sergeant Bluff, IA
- City of Sergeant Bluff
- Community Monitoirng Services, Inc
- Stephanie Conway
- Lisa Marie Dirksen
- Laura Elizabeth Giese
- Hawkeye Clinic of Sergeant Bluff, PC
- John Addison Hildman
- Renee L. Husen
- Stacey A Jackson
- Jiwa Chiropractic & Wellness
All providers in Sergeant Bluff, IA · Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.