Individual provider Active NPI

Michele Suter

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1477912434
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130365 Issued in TX
Practice address
2306 Ridge Rd
Rockwall, TX 75087-5140
Phone
(972) 771-8316
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 AP130365 TX Primary

Addresses

Primary practice location

2306 Ridge Rd
Rockwall, TX 75087-5140

Mailing address

2306 Ridge Rd
Rockwall, TX 75087-5140
Phone (972) 771-8316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180605000300 OK Practitioner - Nurse Practitioner 9335404839 Reassigns benefits to 2 organizations
I20200917002454 TX Practitioner - Nurse Practitioner 9335404839 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Apr 4, 2022 Accepting new patients
Elite Hospital Partners of Oklahoma CurrentSince Aug 1, 2023 Accepting new patients
Concord North Texas, PLLC CurrentSince Aug 15, 2020 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Ridge Road Medical Center PA Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

1020 N Commerce St
Ardmore, OK 73401
Phone (580) 223-5311

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1477912434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875140",
            "telephone_number": "972-771-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875140",
            "telephone_number": "972-771-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTER",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.