Active NPI
Suzette Carol Walker, N.P.
- Nurse Practitioner
- Sandusky, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704131245
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4334228 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704131245 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | 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
- 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.
-
dba McKenzie Health System
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
dba Peck Medical Center
- Rural Health Clinic/Center
- Peck, MI
- NPI 1437917598
-
dba McKenzie Professional Practice
- Family Medicine Physician
- Sandusky, MI
- NPI 1831443761
-
dba McKenzie Rural Health Clinic
- Rural Health Clinic/Center
- Sandusky, MI
- NPI 1033271135
Nurse Practitioner
-
dba McKenzie Family Healthcare
- Rural Health Clinic/Center
- Sandusky, MI
- NPI 1083472138
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.