Susan Ann Pragacz, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704139043 Issued in MI

Practice address

580 W College Ave
Trauma Department
Marquette, MI 49855-2705

Phone

(906) 228-9440

Fax

(906) 225-4922

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1457540403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W RIDGE ST",
            "address_2": "APT. E",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554240",
            "telephone_number": "906-226-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "address_2": "TRAUMA DEPARTMENT",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-228-9440",
            "fax_number": "906-225-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGACZ",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704139043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Gilbey Potocki, D.M.D.
• Joleen Renee Potvin
• Cynthia Joan Pouliot
• Stacie Powers, PA-C
• Prac Holdings, Inc.
• Precision Toxicology, LLC
• Michele Lee Premeau, NP-C
• Premier Psychological Services, PLLC
• Abigail O Prentice, MD
• Colton John Prete, DO

• Acute Care Nurse Practitioner in Marquette, MI
• Providers in Marquette, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.