Active NPI
Susan L Magadan, PA-C
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- PA1953
- Practice address
- 8285 W Arby Ave Ste 100B
Las Vegas, NV 89113-2235 - Phone
- (702) 735-7154
- Fax
- (702) 405-1860
- NPI assigned
- Dec 18, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5548 | AZ | |
| Physician Assistant | 363A00000X | 4103 | WI | |
| Physician Assistant | 363A00000X | PA03559 | TX | |
| Nurse Practitioner | 363L00000X | PA1953 | NV | Primary |
Addresses
Primary practice location
8285 W Arby Ave Ste 100B
Las Vegas, NV 89113-2235
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other practice location 1
19646 N 27th Ave
Ste 403
Phoenix, AZ 85027-4017
Phone (623) 879-4477
Other practice location 2
2500 E Capitol Dr
Appleton, WI 54911-8735
Phone (920) 735-7300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1953 | Other | NV | STATE LICENSE |
| 199127501 | Medicaid | TX | |
| 1508929969 | Medicaid | NV | |
| 901489 | Medicaid | AZ |
Other names 1
- Susan Rufner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Hospital & facility affiliations
- Uh Cleveland Medical Center
- Lake Health
- Uh Regional Hospitals
- University Hospitals Ahuja Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06531 | IA | MD | Social Worker |
| 5548 | AZ | MD | Physician Assistant |
| PA03559 | TX | MD | Physician Assistant |
| 4103 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Multicare Health System | Physician Assistant | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
9485 Mentor Ave
Ste 3
Mentor, OH 44060
Phone (440) 205-5755
Interoperability endpoints
- smagadan41495@ehrdirect.uhhospitals.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1508929969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 W ARBY AVE STE 100B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132235",
"telephone_number": "702-735-7154",
"fax_number": "702-405-1860"
}
],
"practiceLocations": [
{
"address_1": "19646 N 27th Ave",
"address_2": "Ste 403",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850274017",
"country_code": "US",
"telephone_number": "623-879-4477",
"fax_number": "623-879-4445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 E Capitol Dr",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549118735",
"country_code": "US",
"telephone_number": "920-735-7300",
"fax_number": "720-735-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGADAN",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5548",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4103",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03559",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "PA1953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA1953",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199127501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508929969",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "901489",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "RUFNER",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.