Susan Long Newell

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

903617 Issued in MS

Practice address

3275 Highway 371 N
Mantachie, MS 38855-7145

Phone

(662) 282-7555

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Care of Mantachie, LLCGroup PAC ID 4789917808, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.03 of 100Reported as group

Quality

100

Improvement activities

40

Cost

70.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBGIBD/Endpoint/FBGIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/FBGIBD

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.

• Hometown Care of Mantachie LLC

  • Family Nurse Practitioner
  • Mantachie, MS
  • NPI 1164987426
  Medicare reassignment Care Compare group NPD
• Hometown Care of North Mississippi, Inc

  • Family Nurse Practitioner
  • Okolona, MS
  • NPI 1881358349
  Medicare reassignment NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1376107409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 HIGHWAY 9 S",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388639122",
            "telephone_number": "662-419-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 HIGHWAY 371 N",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557145",
            "telephone_number": "662-282-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4566 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016540",
            "country_code": "US",
            "telephone_number": "662-377-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "SUSAN",
        "middle_name": "LONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "903617",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "897425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mantachie Rural Health Care, Inc
• Mantachie Rural Health Care, Inc
• Mantachie Rural Health Care, Inc
• Mantachie Rural Health Care, Inc
• Mantachie Rural Health Care, Inc. Dental
• Crystal Jo Nichols, C.F.N.P.
• Trinity K Nichols, PHARMD
• Pro PT
• Cynthia Smith, FNP
• Johnathon Crawford Smith Sr., CLPN

• Women's Health Nurse Practitioner in Mantachie, MS
• Providers in Mantachie, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.