Susan Eleanor Bartlein, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1472033 Issued in WI

Practice address

910 E Paradise Dr
West Bend, WI 53095-5451

Phone

(262) 338-5933

Fax

(262) 334-1620

NPI assigned

Oct 14, 2006

Last updated

Jul 6, 2015By the provider in NPPES

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

Other names 1

• Ms. Susan Eleanor McKeown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1417047861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E. PARADISE DR.",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955451",
            "telephone_number": "262-338-5933",
            "fax_number": "262-334-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955451",
            "telephone_number": "262-338-5933",
            "fax_number": "262-334-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEIN",
        "first_name": "SUSAN",
        "middle_name": "ELEANOR",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "1472033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCKEOWN",
            "middle_name": "ELEANOR",
            "prefix": "MS.",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Bardenwerper, O.D.
• Tracy Lynn Barilani, SAC-IT
• Joshua Aaron Barta, D.D.S., M.S.
• Scott Bartell
• Constance Helen Bartelt, PTA
• Barton Dental Clinic SC
• Caitlin Basso
• Christine Ann Bath, RN
• Erin Bauer
• Kassandra Bauman, OTR/L

• Adult Health Nurse Practitioner in West Bend, WI
• Providers in West Bend, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.