Active NPI
Susan Aistrup, APRN
- Nurse Practitioner
- Larned, KS
National Provider Identifier
1487035549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 76785
- Practice address
- 713 W 11TH St
Larned, KS 67550-2055 - Phone
- (620) 804-6007
- NPI assigned
- Jun 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 76785 | KS | Primary |
Addresses
Primary practice location
713 W 11TH St
Larned, KS 67550-2055
Mailing address
713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150804006127 | KS | Practitioner - Nurse Practitioner | 5799099784 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pawnee Valley Community Hospital Inc
Practice addresses (Care Compare)
713 W 11TH St
Larned, KS 67550-2055
Phone (620) 804-6007
Hospital & facility affiliations
- Pawnee Valley Community Hospital
- University of KS HLTH System Great Bend Campus
- Hays Medical Center
- Diversicare of Larned
- Pawnee Valley Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Associates | Current | Accepting new patients | |
| St. Joseph Memorial Hospital, Inc. | Past | Accepting new patients | |
| Pawnee Valley Community Hospital, Inc | Past | Accepting new patients |
Locations
713 W 11th St
Larned, KS 67550
Phone (620) 285-6958
Organizations & group practices 7
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Larned, KS
- NPI 1861423238
-
- Rural Health Clinic/Center
- Larned, KS
- NPI 1518394147
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
-
- Family Medicine Physician
- Larned, KS
- NPI 1073784138
-
- Family Medicine Physician
- Larned, KS
- NPI 1326098914
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Larned, KS
- NPI 1861423238
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1487035549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W 11TH ST",
"city": "LARNED",
"state": "KS",
"postal_code": "675502055",
"telephone_number": "620-804-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W 11TH ST",
"city": "LARNED",
"state": "KS",
"postal_code": "675502055",
"telephone_number": "620-804-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AISTRUP",
"first_name": "SUSAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "76785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larned, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.