Individual provider Active NPI

Susanna S Payne, N.P.

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1417238049
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169572 Issued in VA
Practice address
2230 W Broad St
Ste 101
Richmond, VA 23220-2037
Phone
(804) 877-8329
NPI assigned
Sep 9, 2011
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 0024169572 VA Primary

Addresses

Primary practice location

2230 W Broad St
Ste 101
Richmond, VA 23220-2037

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20141118002569 VA Practitioner - Nurse Practitioner 5991971012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327

11201 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 887-8322

1502 N Parham Rd
Richmond, VA 23229-4661
Phone (804) 877-8323

2230 W Broad St
Suite 101
Richmond, VA 23220-2037
Phone (804) 877-8329

4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169572VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Urgent Care LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

2230 W Broad St
Ste 101
Richmond, VA 23220
Phone (804) 877-8329

Interoperability endpoints

  • Direct secure messaging: spayne2769126@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1417238049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W BROAD ST",
            "address_2": "STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202037",
            "telephone_number": "804-877-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SUSANNA",
        "middle_name": "S",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.