Individual provider Active NPI

Suzanne Rene' Calcutt, MSN, FNP-BC, PHN

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1467077610
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014219 Issued in CA
Practice address
3327 Rosecrans St
San Diego, CA 92110-4223
Phone
(619) 225-9691
NPI assigned
Jun 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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 95014219 CA Primary

Addresses

Primary practice location

3327 Rosecrans St
San Diego, CA 92110-4223

Mailing address

4263 Orchard Dr
Spring Valley, CA 91977-1208
Phone (619) 249-0273

Other identifiers 4

IdentifierTypeStateIssuer
557640OtherCACALIFORNIA PUBLIC HEALTH NURSE
95014219OtherCACALIFORNIA BRN - FAMILY NURSE PRACTITIONER
NPF95014219OtherCACALIFORNIA BRN - FNP FURNISHING NUMBER
729393OtherCACALIFORNIA BOARD OF REGISTERED NURSING - RN LICENSE

Other names 1

  • Suzanne Rene' Schuenke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211227001084 CA Practitioner - Nurse Practitioner 2466843503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Feb 20, 2024 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

6386 Alvarado Ct
Ste 101
San Diego, CA 92120
Phone (619) 265-1237

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1467077610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 ORCHARD DR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771208",
            "telephone_number": "619-249-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104223",
            "telephone_number": "619-225-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCUTT",
        "first_name": "SUZANNE",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PUBLIC HEALTH NURSE",
            "identifier": "557640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BRN - FAMILY NURSE PRACTITIONER",
            "identifier": "95014219",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BRN - FNP FURNISHING NUMBER",
            "identifier": "NPF95014219",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING - RN LICENSE",
            "identifier": "729393",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SCHUENKE",
            "middle_name": "RENE'",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.