Individual provider Active NPI

Susan Scuffle, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1457839102
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012583 Issued in KY
Practice address
506 Executive Park
Louisville, KY 40207-4205
Phone
(502) 822-6603
Fax
(502) 747-7071
NPI assigned
Aug 4, 2018
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 3012583 KY Primary

Addresses

Primary practice location

506 Executive Park
Louisville, KY 40207-4205

Mailing address

506 Executive Park
Louisville, KY 40207-4205
Phone (502) 822-6603

Other identifiers 2

IdentifierTypeStateIssuer
7100604070MedicaidKY
300074017MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181016003130 KY Practitioner - Nurse Practitioner 9032461280 Reassigns benefits to 6 organizations
I20250602000610 IN Practitioner - Nurse Practitioner 9032461280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musculoskeletal Associates PLLCGroup PAC ID 8224328307, 5 clinicians

Practice addresses (Care Compare)

506 Executive Park
Louisville, KY 40207-4205
Phone (502) 822-6603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012583KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Joint Specialists LLC Family CurrentSince Apr 12, 2023 Accepting new patients
Brock Medical, LLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Feb 1, 2024 Accepting new patients
Musculoskeletal Associates PLLC Family CurrentSince May 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 1, 2024 Accepting new patients
Amin's Family Practice Associates , PSC Family CurrentSince Jan 1, 2023 Accepting new patients
Zipclinic, PSC CurrentSince Jul 1, 2021 Accepting new patients
Kentuckiana Geriatric and Palliative Services PLLC Family CurrentSince Sep 10, 2018 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Commonwealth Infectious Disease PSC Past Accepting new patients

Locations

1730 Williamsburg Dr
Ste 4
Jeffersonvlle, IN 47130
Phone (502) 822-6603

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

3010 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 771-1012

4010 DuPont Cir
Ste 310
Louisville, KY 40207
Phone (502) 771-5432

506 Executive Park
Louisville, KY 40207
Phone (502) 213-3807

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

1877 Farnsley Rd
Shively, KY 40216
Phone (502) 425-0820

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1457839102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074205",
            "telephone_number": "502-822-6603",
            "fax_number": "502-747-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074205",
            "telephone_number": "502-822-6603",
            "fax_number": "502-747-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUFFLE",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100604070",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300074017",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.