Active NPI
Susan Scuffle, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012583
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100604070 | Medicaid | KY | |
| 300074017 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3012583 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Joint Specialists LLC | Family | Current | Accepting new patients |
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Musculoskeletal Associates PLLC | Family | Current | Accepting new patients |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Amin's Family Practice Associates , PSC | Family | Current | Accepting new patients |
| Zipclinic, PSC | Current | Accepting new patients | |
| Kentuckiana Geriatric and Palliative Services PLLC | Family | Current | Accepting new patients |
| Fast Pace Kentucky, PLLC | Current | 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
- NPI 1477900629
Family, IN
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1750307393
-
dba Fast Pace Urgent Care
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Geriatric Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1902036825
Family
-
dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Infectious Disease Physician
- Louisville, KY
- NPI 1649232026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.