Susan Lynne Blakemore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004535A Issued in IN

Practice address

3743 Landmark Dr
Ste 200
Lafayette, IN 47905-6656

Phone

(765) 448-4511

NPI assigned

Aug 28, 2013

Last updated

Apr 30, 2021By 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 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Home Care Home health agency, Lafayette, IN, CCN 157124
• Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
• Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
• Indiana University Health White Memorial Hospital Hospital, Monticello, IN, CCN 151312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sblakemore211483@direct.optum.com

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.

• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1831236272
  Medicare reassignment Care Compare group NPD
• American Health Network of Indiana LLC

  dba American Health Network of Indiana LLC/TELERADIOLOGY

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)
• Westmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carmel, IN
  • NPI 1235521030
  NPD (past)

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

• Franciscan Health Crawfordsville

  • General Acute Care Hospital
  • Crawfordsville, IN
  • NPI 1588774558
  Care Compare affiliation
• Franciscan Health Lafayette

  dba Franciscan St. Elizabeth Health

  • General Acute Care Hospital
  • Lafayette, IN
  • NPI 1356435341
  Care Compare affiliation
• Franciscan Health Lafayette

  dba Franciscan Home Care

  • Home Health Agency
  • Lafayette, IN
  • NPI 1619970134
  Care Compare affiliation
• Indiana University Health White Memorial Hospital Inc

  • Critical Access Hospital
  • Monticello, IN
  • NPI 1710983945
  Care Compare affiliation
• St. Clare Medical Center

  • Skilled Nursing Facility
  • Crawfordsville, IN
  • NPI 1508960535

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1437583390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 LANDMARK DR",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056656",
            "telephone_number": "765-448-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 LANDMARK DR",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056656",
            "telephone_number": "765-448-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "A0213010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F1214194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.blakemoreanp.p8@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3750 Landmark Dr",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479056652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.blakemoreanp.p8@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3743 Landmark Dr",
            "address_2": "Ste 200",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479056656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BKD Productions, LLC (It's More to Your Door)
• Buck J Black, MSW, LCSW
• Blackbird Clinical Services, LLC
• Colin James Blackburn, DPM
• Holen Blackburn
• Annalise Bland, RBT
• John William Blank, MPT
• Mallory C Blankenberger, PA-C
• Melissa A Blankman, COUNSELOR
• Sara E Blasing, DPT

• Family Nurse Practitioner in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.