Individual provider Active NPI

Suzan Marie Cabral, NP-C

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1396102869
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010496 Issued in NC
Practice address
902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone
(828) 754-0101
Fax
(828) 757-0402
NPI assigned
Jan 28, 2016
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010496 NC
Nurse Practitioner 363L00000X 4704183004 MI
Nurse Practitioner 363L00000X 302172 NC
Family Nurse Practitioner 363LF0000X 5010496 NC Primary

Addresses

Primary practice location

902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Mailing address

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone (828) 754-0101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scabral@amoremsupport.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160505001058 MI Practitioner - Nurse Practitioner 6608175013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

3637 McCain Rd
Jackson, MI 49203-2575
Phone (517) 787-4150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704183004MIMDNurse Practitioner
5010496NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC CurrentSince Sep 2, 2024 Accepting new patients
W.a. Foote Memorial Hospital Nurse Practitioner CurrentSince Mar 30, 2016 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Mar 30, 2016 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Sep 2, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 21, 2024 Accepting new patients
Caldwell Hospice and Palliative Care, Inc. PastSince Mar 31, 2018 Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

2200 Springport Rd
Ste 500
Jackson, MI 49202
Phone (517) 205-2111

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: scabral@amoremsupport.org
  • Direct secure messaging: scabral455909@direct.hfhs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1396102869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "SUZAN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010496",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704183004",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "302172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scabral@amoremsupport.org",
            "affiliation": "N",
            "address_1": "902 Kirkwood Ave NW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.