Active NPI
Susan Wilsey Walker, AGNP-C, MSN, RN
- Gerontology Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4012116
- Practice address
- 6000 Poplar Ave Ste 250
Memphis, TN 38119-3974 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- May 15, 2023
- Last updated
- Dec 6, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4012116 | KY | |
| Gerontology Nurse Practitioner | 363LG0600X | RN2125312 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 34501 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | 4012116 | KY | Primary |
Addresses
Primary practice location
6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Mailing address
3063 Sawyer Ridge CT
Jacksonville, FL 32223-1652
Phone (904) 568-5051
Other practice location 1
306 W Main St Ste 512
Frankfort, KY 40601-1840
Phone (574) 546-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6000 Poplar Ave
Suite 250
Memphis, TN 38119-3974
Phone (574) 546-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.04
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34501 | TN | MD | Pharmacist |
| 4012116 | KY | MD | Nurse Practitioner |
| RN2125312 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Pain Management Associates PC | Nurse Practitioner | Current | Accepting new patients |
| Guidestar Eldercare - TN, P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1023791449
Nurse Practitioner
-
dba GuideStar Eldercare
- Internal Medicine Physician
- Crown Point, IN
- NPI 1518900620
KY, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1467143263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 SAWYER RIDGE CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231652",
"telephone_number": "904-568-5051",
"fax_number": "904-483-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 POPLAR AVE STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193974",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "306 W Main St Ste 512",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406011840",
"country_code": "US",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "SUSAN",
"middle_name": "WILSEY",
"name_prefix": "Mrs.",
"credential": "AGNP-C, MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4012116",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "RN2125312",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "34501",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "4012116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.