Individual provider Active NPI

Suzette Carol Walker, N.P.

  • Nurse Practitioner
  • Sandusky, MI
National Provider Identifier
1558492850
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704131245 Issued in MI
Practice address
170 Argyle Street
Sandusky, MI 48471-5911
Phone
(810) 648-3229
Fax
(810) 648-5404
NPI assigned
Mar 8, 2007
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704131245 MI Primary

Addresses

Primary practice location

170 Argyle Street
Sandusky, MI 48471-5911

Mailing address

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-3770

Other identifiers 1

IdentifierTypeStateIssuer
4334228MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzette.walker@mhs.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100514000529 MI Practitioner - Nurse Practitioner 9638207483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Memorial HospitalGroup PAC ID 6406755289, 31 clinicians

Practice addresses (Care Compare)

100 Argyle St
Suite 3
Sandusky, MI 48471
Phone (810) 648-6162

120 Delaware St
Sandusky, MI 48471

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704131245MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Memorial Hospital CurrentSince Jun 17, 2013 Accepting new patients
McKenzie Memorial Hospital Current Accepting new patients
McKenzie Memorial Hospital CurrentSince Jun 17, 2013 Accepting new patients
McKenzie Memorial Hospital Nurse Practitioner Past Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients

Locations

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

120 N Delaware St
#1
Sandusky, MI 48471

170 W Argyle St
Sandusky, MI 48471
Phone (810) 648-0210

Interoperability endpoints

  • Direct secure messaging: suzette.walker@mhs.eclinicaldirectplus.com

Organizations & group practices 5

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1558492850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711009",
            "telephone_number": "810-648-3770",
            "fax_number": "810-648-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ARGYLE STREET",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484715911",
            "telephone_number": "810-648-3229",
            "fax_number": "810-648-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUZETTE",
        "middle_name": "CAROL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704131245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4334228",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzette.walker@mhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "170 Argyle Street",
            "city": "Sandusky",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484715911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.