Individual provider Active NPI

Suzanne S Conrad, ARNP

  • Adult Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1518976802
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3386612 Issued in FL
Practice address
325 Lancaster Drive SE
Salem, OR 97317
Phone
(352) 494-9967
Fax
(402) 858-4043
NPI assigned
Aug 5, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3386612 FL Primary

Addresses

Primary practice location

325 Lancaster Drive SE
Salem, OR 97317

Mailing address

16966 Summer PL
Lake Oswego, OR 97035-4595
Phone (352) 494-9967

Other practice location 1

901 Main St
Oregon City, OR 97045-1818
Phone (402) 858-4044

Other identifiers 2

IdentifierTypeStateIssuer
231679MedicaidOR
305976600MedicaidFL

Other names 1

  • Suzanna Shunk Conrad Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230606003103 OR Practitioner - Nurse Practitioner 0042248874 Reassigns benefits to 2 organizations
I20250708003569 WA Practitioner - Nurse Practitioner 0042248874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3386612FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Sinuclear Washington PC CurrentSince Jun 23, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 1, 2024 Accepting new patients
Sinuclear Oregon PC CurrentSince Jun 23, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 1, 2024 Accepting new patients
Sinu-Clear Inc PastSince Nov 18, 2025 Accepting new patients

Locations

15910 Ventura Blvd
Ste 1510
Encino, CA 91436
Phone (310) 278-9171

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

500 NE Multnomah St
Fl 11
Portland, OR 97232

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1518976802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16966 SUMMER PL",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354595",
            "telephone_number": "352-494-9967",
            "fax_number": "402-858-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 LANCASTER DRIVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97317",
            "telephone_number": "352-494-9967",
            "fax_number": "402-858-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Main St",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451818",
            "country_code": "US",
            "telephone_number": "402-858-4044",
            "fax_number": "402-858-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3386612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231679",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305976600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNA",
            "last_name": "CONRAD",
            "middle_name": "SHUNK",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.