Individual provider Active NPI

Susan Elaine Kraft, NP-C

  • Family Nurse Practitioner
  • Washington, IN
National Provider Identifier
1407163959
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003349A Issued in IN
Practice address
1402 Grand Ave
Washington, IN 47501-2122
Phone
(812) 254-6696
Fax
(812) 254-7934
NPI assigned
Sep 4, 2010
Last updated
Jan 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003349A IN Primary

Addresses

Primary practice location

1402 Grand Ave
Washington, IN 47501-2122

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-6696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susankraft@dchpm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000594 IN Practitioner - Nurse Practitioner 1153591862 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003349AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Apr 1, 2013 Accepting new patients

Locations

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: susankraft@dchpm.allscriptsdirect.net

Organizations & group practices 2

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": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1407163959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-6696",
            "fax_number": "812-254-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 GRAND AVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012122",
            "telephone_number": "812-254-6696",
            "fax_number": "812-254-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-04",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003349A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susankraft@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1402 Grand Ave",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.