NPIMap

Individual provider Active NPI

Suzanne Peters, NP

  • Nurse Practitioner
  • Erie, KS
National Provider Identifier
1366730483
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75493 Issued in KS
Practice address
13920 Highway 59
Erie, KS 66733-5001
Phone
(620) 244-5105
Fax
(620) 244-5111
NPI assigned
Jul 11, 2011
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 75493 KS Primary
Registered Nurse 163W00000X 13-055412-061 KS

Addresses

Primary practice location

13920 Highway 59
Erie, KS 66733-5001

Mailing address

629 S Plummer Ave
PO Box 426
Chanute, KS 66720-1928
Phone (620) 431-4000

Other names 1

  • Suzanne Dunn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzannepeters@Neosho.CernerDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000271 KS Practitioner - Nurse Practitioner 7113190240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neosho Memorial Regional Medical CenterGroup PAC ID 9133022882, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

13920 Hwy 59
Erie, KS 66733-5001
Phone (620) 244-5784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13-055412-061KSMDRegistered Nurse
75493KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Apr 7, 2014 Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Nmrmc Urology Clinic CurrentSince Apr 7, 2014 Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

13920 Highway 59
Erie, KS 66733
Phone (620) 244-5700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
  • Direct secure messaging: suzannepeters@neosho.cernerdirect.com

Organizations & group practices 4

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 4

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1366730483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "address_2": "PO BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 HIGHWAY 59",
            "city": "ERIE",
            "state": "KS",
            "postal_code": "667335001",
            "telephone_number": "620-244-5105",
            "fax_number": "620-244-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75493",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-055412-061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannepeters@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "13920 Highway 59",
            "city": "Erie",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667335001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DUNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, KS

Sources for this page

Verify at the official NPI Registry.