Active NPI
Susan Dianne Feil, RNP
- Adult Health Nurse Practitioner
- Fresno, CA
National Provider Identifier
1407394265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95003542
- Practice address
- 2253 M Street
Fresno County Jail (Corizon Health Care)
Fresno, CA 93270 - Phone
- (559) 600-9533
- NPI assigned
- Feb 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95003542 | CA | Primary |
Addresses
Primary practice location
2253 M Street
Fresno County Jail (Corizon Health Care)
Fresno, CA 93270
Mailing address
13520 Smoke Creek Ave
Bakersfield, CA 93314-9027
Phone (661) 331-7617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180423001514 | CA | Practitioner - Nurse Practitioner | 3173886355 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients |
Locations
1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1336668284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1407394265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13520 SMOKE CREEK AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933149027",
"telephone_number": "661-331-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2253 M STREET",
"address_2": "FRESNO COUNTY JAIL (CORIZON HEALTH CARE)",
"city": "FRESNO",
"state": "CA",
"postal_code": "93270",
"telephone_number": "559-600-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIL",
"first_name": "SUSAN",
"middle_name": "DIANNE",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95003542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.