Active NPI
Suzanne L Dupont, APNP
- Nurse Practitioner
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6359-33
- Practice address
- 229 S Morrison St
Appleton, WI 54911-5725 - Phone
- (920) 832-2783
- Fax
- (920) 832-2797
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109248-30 | WI | |
| Nurse Practitioner | 363L00000X | 6359-33 | WI | Primary |
Addresses
Primary practice location
229 S Morrison St
Appleton, WI 54911-5725
Mailing address
229 S Morrison St
Appleton, WI 54911-5725
Phone (920) 832-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715001692 | WI | Practitioner - Nurse Practitioner | 4587977871 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mosaic Family Health Inc
Practice addresses (Care Compare)
229 S Morrison St
Appleton, WI 54911-5725
Phone (920) 832-2783
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.06 of 100
- Quality
- 84.62
- Improvement activities
- 40
- Cost
- 77.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109248-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Family Health, Inc | Current | Accepting new patients |
Locations
2915 N Meade St
Appleton, WI 54911
Phone (920) 831-8700
3300 W Brewster St
Appleton, WI 54914
Phone (920) 832-1657
100 N Oneida St
Appleton, WI 54911
Phone (920) 832-2783
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1457763898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 S MORRISON ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115725",
"telephone_number": "920-832-2783",
"fax_number": "920-832-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 S MORRISON ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115725",
"telephone_number": "920-832-2783",
"fax_number": "920-832-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "SUZANNE",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "109248-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6359-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.