Suzanne Ball, NP

Key facts

NPI

1457083420

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

4704239502 (MI)

Practice address

204 W Main St
Fremont, MI 49412-1181

Phone

(231) 924-1800

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 8

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.

• Mecosta County Medical Center Cardiovascular Disease Physician · Big Rapids, MI · NPI 1386693471
  Medicare reassignment NPD MI
• Newaygo County General Hospital Association Hospitalist Physician · Fremont, MI · NPI 1750404927
  Medicare reassignment NPD MI
• Hometown Urgent Care of Michigan, P.C. Urgent Care Clinic/Center · Huber Heights, OH · NPI 1790030385
  Medicare reassignment NPD MI
• Hometown Urgent Care of Michigan, P.C. Clinical Medical Laboratory · Kalamazoo, MI · NPI 1891469631
  NPD
• Mecosta County Medical Center General Acute Care Hospital · Big Rapids, MI · NPI 1316945991
  NPD
• Mecosta County Medical Center Family Medicine Physician · Big Rapids, MI · NPI 1366730566
  NPD NURSE PRACTITIONER
• Newaygo County General Hospital Association Critical Access Hospital · Fremont, MI · NPI 1063836963
  NPD
• Hometown Urgent Care of Michigan, PC Clinical Medical Laboratory · Indianapolis, IN · NPI 1881358489
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sball176805@epic00.corewelldirect.org
• Direct secure messaging: sball176805@epic00.shdirect.org

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1457083420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121181",
            "telephone_number": "231-924-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sball176805@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "204 W Main St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "204 W Main St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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