Individual provider Active NPI

Susan Samee Eller, NP

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1558699595
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN108183 Issued in AZ
Practice address
6501East Greenway Parkway
Suite 3-104
Scottsdale, AZ 85254-2066
Phone
(480) 948-3314
Fax
(480) 948-3588
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN108183 AZ Primary

Addresses

Primary practice location

6501East Greenway Parkway
Suite 3-104
Scottsdale, AZ 85254-2066

Mailing address

1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100105000010 AZ Practitioner - Nurse Practitioner 4587705165 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prasada Health Center LLCGroup PAC ID 8628460672, 7 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

13733 N Prasada Pkwy
Suite 100
Surprise, AZ 85388-8007
Phone 4809267800119

3931 E Camelback Rd
Phoenix, AZ 85018-2609
Phone (602) 687-7858

4815 E Carefree Hwy
Suite 124
Cave Creek, AZ 85331-4719
Phone (480) 626-0525

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN108183AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Oct 13, 2022 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Dec 28, 2020 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Sep 16, 2019 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Feb 25, 2024 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Mar 22, 2021 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Dec 28, 2020 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Urgent Care, LLC Current Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Med 97 LLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

3931 E Camelback Rd
Phoenix, AZ 85018
Phone (602) 687-7858

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

8469 E McDonald Dr
Scottsdale, AZ 85250
Phone (480) 483-1045

2145 E Baseline Rd
Ste 104
Tempe, AZ 85283
Phone (480) 704-4411

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: susan.ellerfnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1558699595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501EAST GREENWAY PARKWAY",
            "address_2": "SUITE 3-104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542066",
            "telephone_number": "480-948-3314",
            "fax_number": "480-948-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "SUSAN",
        "middle_name": "SAMEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RN108183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.