Susan Carol McMullen, N.P.02/07/1966

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11292 Issued in CA

Practice address

10121 Pine Ave
Extended Care SNF
Truckee, CA 96161-4856

Phone

(530) 582-3251

Fax

(530) 582-3281

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smcmullen958416@directa.mercy.net

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.

• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Medicare reassignment NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1407895667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "#230",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3277",
            "fax_number": "530-550-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "address_2": "EXTENDED CARE SNF",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614856",
            "telephone_number": "530-582-3251",
            "fax_number": "530-582-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "N.P.02/07/1966",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Beryl McClure, L.AC.; OMD; DIPL.OM
• Jackelin McCoy
• Spencer James McCune
• Kristyn McDougall, APRN
• Deonne Zena McLean, MS, LMFT
• Brenda Medina-Islas
• Hope Medina
• Elvia F Mendez, MSW, LCSW
• Angela Christina Mendoza, MD
• Austin Meng

• Family Nurse Practitioner in Truckee, CA
• Providers in Truckee, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.

Verify at the official NPI Registry.