Individual provider Active NPI

Susan Lynette Scible, ARNP

  • Acute Care Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1487972543
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3253412 Issued in FL
Practice address
410 Celebration PL Ste 106
Celebration, FL 34747-5432
Phone
(407) 303-4829
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3253412 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 106
Celebration, FL 34747-5432

Mailing address

410 Celebration PL Ste 106
Celebration, FL 34747-5432
Phone (407) 303-4829

Other practice location 1

410 Celebration Pl
Suite 400
Celebration, FL 34747-5433
Phone (407) 566-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100722000790 FL Practitioner - Nurse Practitioner 0547392755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3253412FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Infectious Disease Specialists Inc. CurrentSince Aug 12, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 14, 2022 Accepting new patients
Tanveer Ahmed MD LLC CurrentSince Aug 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 14, 2022 Accepting new patients
Center for Digestive Disease & Disorder at Celebration LLC Past Accepting new patients
Florida Infectious Disease Consultants P.a PastSince Aug 12, 2020 Accepting new patients

Locations

102 Park Place Blvd
Ste 2
Kissimmee, FL 34741
Phone (407) 944-4900

410 Celebration Pl
Ste 106
Kissimmee, FL 34747
Phone (407) 303-4829

410 Celebration Pl
Ste 400
Kissimmee, FL 34747
Phone (407) 566-0700

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sanderson128879@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1487972543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 106",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475432",
            "telephone_number": "407-303-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 106",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475432",
            "telephone_number": "407-303-4829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Celebration Pl",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475433",
            "country_code": "US",
            "telephone_number": "407-566-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIBLE",
        "first_name": "SUSAN",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "3253412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.