Individual provider Active NPI

Susan A Orsich, RN, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1467766899
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3656 Issued in AZ
Practice address
20414 N 27TH Ave
Phoenix, AZ 85027-3250
Phone
(602) 849-0115
Fax
(602) 246-7029
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X RN109739 AZ
Family Nurse Practitioner 363LF0000X AP3656 AZ Primary

Addresses

Primary practice location

20414 N 27TH Ave
Phoenix, AZ 85027-3250

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other identifiers 1

IdentifierTypeStateIssuer
537266MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101007000695 AZ Practitioner - Nurse Practitioner 2668664756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Ekonmedical LLCGroup PAC ID 3870939531, 2 clinicians

Practice addresses (Care Compare)

18301 N 79TH Ave
Suite G190
Glendale, AZ 85308-6093
Phone (602) 932-8597

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP3656AZMDFamily Nurse Practitioner
RN109739AZMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Apr 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Apr 1, 2019 Accepting new patients
Phoenix Medical Group, P.C. CurrentSince Mar 14, 2018 Accepting new patients
Phoenix Medical Group, PC CurrentSince Mar 14, 2018 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Sep 19, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Sep 19, 2022 Accepting new patients
Ekonmedical LLC CurrentSince Aug 1, 2024 Accepting new patients
District Medical Group, Inc Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients
Aims, LLC Past Accepting new patients

Locations

18301 N 79th Ave
Ste G190
Glendale, AZ 85308
Phone (602) 932-8597

6677 W Thunderbird Rd
Ste E
Glendale, AZ 85306
Phone (602) 439-0815

840 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (602) 470-5520

9145 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 529-1016

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1467766899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203",
            "fax_number": "702-838-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "602-849-0115",
            "fax_number": "602-246-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSICH",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "RN109739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.