Individual provider Active NPI

Susan Dianne Feil, RNP

  • Adult Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1407394265
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95003542 Issued in CA
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

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423001514 CA Practitioner - Nurse Practitioner 3173886355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Feb 6, 2019 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 6, 2019 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.

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

Verify at the official NPI Registry.