Individual provider Active NPI

Susan Beth Conaty-Buck, DNP, FNP-C

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1407913197
Registry record updated Feb 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000828 Issued in DE
Practice address
540 S College Ave Ste 130
Newark, DE 19713-1302
Phone
(302) 831-3195
Fax
(302) 831-3193
NPI assigned
Jan 2, 2007
Last updated
Feb 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2017

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 LG-0000828 DE Primary

Addresses

Primary practice location

540 S College Ave Ste 130
Newark, DE 19713-1302

Mailing address

540 S College Ave Ste 130
Newark, DE 19713-1302
Phone (302) 831-3195

Other identifiers 1

IdentifierTypeStateIssuer
409475YNMMOtherDEMEDICARE, PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150519000653 DE Practitioner - Nurse Practitioner 7618955402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical AssociatesGroup PAC ID 0345662490, 5 clinicians

Practice addresses (Care Compare)

620 Stanton Christiana Rd
Suite 101
Newark, DE 19713-2134
Phone (302) 375-6746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000828DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, LLC Family CurrentSince Sep 1, 2025 Accepting new patients
Premier Medical Associates Family Current Accepting new patients
Delaware Sleep Disorder Centers, LLC Current Accepting new patients
Delaware Sleep Disorder Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients
Premier Medical Associates Family CurrentSince Sep 1, 2025 Accepting new patients
Delaware Sleep Disorder Centers, LLC CurrentSince Sep 1, 2025 Accepting new patients
Peak View Internal Medicine, PLC PastSince Jul 30, 2001 Accepting new patients

Locations

30 E Division St
Dover, DE 19901
Phone (302) 678-8311

620 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 449-9314

1400 Philadelphia Pike
Ste A4
Wilmington, DE 19809
Phone (302) 472-4878

701 Foulk Rd
Ste 1G
Wilmington, DE 19803
Phone (302) 368-3300

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486857600000",
    "number": "1407913197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 130",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-3195",
            "fax_number": "302-831-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 130",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-3195",
            "fax_number": "302-831-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONATY-BUCK",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "409475YNMM",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.