Individual provider Active NPI

Susan Furtwengler, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1518160688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-070884 Issued in AL
Practice address
8216 Madison Blvd
Madison, AL 35758-2002
Phone
(256) 464-9991
Fax
(256) 464-9994
NPI assigned
Jun 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1-070884 AL Primary

Addresses

Primary practice location

8216 Madison Blvd
Madison, AL 35758-2002

Mailing address

8216 Madison Blvd
Madison, AL 35758-2002
Phone (256) 464-9991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050426000792 AL Practitioner - Nurse Practitioner 8921047358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Practice of Madison, PCGroup PAC ID 3779578430, 4 clinicians

Practice addresses (Care Compare)

8216 Madison Blvd
Madison, AL 35758-2002
Phone (256) 464-9991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-070884ALMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518160688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 MADISON BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582002",
            "telephone_number": "256-464-9991",
            "fax_number": "256-464-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 MADISON BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582002",
            "telephone_number": "256-464-9991",
            "fax_number": "256-464-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTWENGLER",
        "first_name": "SUSAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-070884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.