Individual provider Active NPI

Susan Reuter, FNP-C

  • Family Nurse Practitioner
  • Imlay City, MI
National Provider Identifier
1477095214
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704272466 Issued in MI
Practice address
6672 Newark Rd
Imlay City, MI 48444-9657
Phone
(810) 724-0591
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 4704272466 MI Primary

Addresses

Primary practice location

6672 Newark Rd
Imlay City, MI 48444-9657

Mailing address

45627 Stadler St
Utica, MI 48315-5939
Phone (586) 864-5717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170130002850 MI Practitioner - Nurse Practitioner 9931481736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland College of Medicine and Surgery, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laura Zelenak, D.O., P.C.Group PAC ID 1850442864, 5 clinicians

Practice addresses (Care Compare)

6672 Newark Rd
Imlay City, MI 48444-9657
Phone (810) 724-0591

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Zelenak, D.O., P.C. CurrentSince Dec 19, 2016 Accepting new patients

Locations

6672 Newark Rd
Imlay City, MI 48444
Phone (810) 614-6482

Interoperability endpoints

  • Direct secure messaging: susan.reuter.1@13481.direct.athenahealth.com

Organizations & group practices 1

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 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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1477095214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45627 STADLER ST",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155939",
            "telephone_number": "586-864-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6672 NEWARK RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449657",
            "telephone_number": "810-724-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTER",
        "first_name": "SUSAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704272466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

Verify at the official NPI Registry.