Active NPI
Susan Kay Staples, APRN
- Family Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3011683
- Practice address
- 944 Searcy Way
Bowling Green, KY 42103-7168 - Phone
- (270) 467-7180
- Fax
- (270) 904-2862
- NPI assigned
- Aug 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000855-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 3011683 | KY | Primary |
Addresses
Primary practice location
944 Searcy Way
Bowling Green, KY 42103-7168
Mailing address
944 Searcy Way
Bowling Green, KY 42103-7168
Phone (270) 467-7180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100475690 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 N Pope St
HMS Community Health Center
Silver City, NM 88061-5161
Phone (575) 388-1511
1318 E 32ND St
Tranquil Skies Community Mental Health
Silver City, NM 88061-7252
Phone (575) 388-4412
530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-8384
Hospital & facility affiliations
- Gila Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000855-C-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Health Care PC | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | Accepting new patients |
Locations
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511
1600 E 32nd St
Silver City, NM 88061
Phone (505) 538-2981
1318 E 32nd St
Silver City, NM 88061
Phone (505) 388-1913
Interoperability endpoints
- https://api.platform.athenahealth.com/20156/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
-
- Internal Medicine Physician
- Silver City, NM
- NPI 1548291586
-
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1255324562
-
- Federally Qualified Health Center (FQHC)
- Silver City, NM
- NPI 1467971986
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1508380478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 SEARCY WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037168",
"telephone_number": "270-467-7180",
"fax_number": "709-042-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 SEARCY WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037168",
"telephone_number": "270-467-7180",
"fax_number": "270-904-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0000855-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100475690",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.