Susan Jane Handke, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A068082 Issued in 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

Last updated

Aug 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1366442337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SERGEANT SQUARE DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510547729",
            "telephone_number": "712-943-2500",
            "fax_number": "712-943-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SERGEANT SQUARE DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510547729",
            "telephone_number": "712-943-2500",
            "fax_number": "712-943-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDKE",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A068082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Sergeant Bluff
• Community Monitoirng Services, Inc
• Stephanie Conway, OTR/L
• Lisa Marie Dirksen, OTR/L
• Laura Elizabeth Giese, DDS
• Hawkeye Clinic of Sergeant Bluff, PC
• John Addison Hildman
• Renee L. Husen, D.D.S.
• Stacey A Jackson, PHARMD
• Jiwa Chiropractic & Wellness

• Nurse Practitioner in Sergeant Bluff, IA
• Providers in Sergeant Bluff, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.