Individual provider Active NPI

Suzanne Vartanian, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1558922443
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011621 Issued in CA
Practice address
205 E River Park Cir Ste 460
Fresno, CA 93720-1585
Phone
(559) 261-4500
NPI assigned
Jun 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 NP95011621 CA Primary

Addresses

Primary practice location

205 E River Park Cir Ste 460
Fresno, CA 93720-1585

Mailing address

11618 E Stroud Ave
Kingsburg, CA 93631-9218
Phone (559) 289-7478

Other names 1

  • Suzanne Renee Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191114001396 CA Practitioner - Nurse Practitioner 1658703541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

205 E River Park Cir
Suite 460
Fresno, CA 93720-1585
Phone (559) 261-4500

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95011621CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Chest Surgery CurrentSince Mar 4, 2020 Accepting new patients
Shamsuddin Khwaja M D Inc CurrentSince Feb 25, 2020 Accepting new patients
Community Health Partners CurrentSince Oct 31, 2022 Accepting new patients

Locations

729 N Medical Center Dr W
Ste 223
Clovis, CA 93611
Phone (559) 449-9990

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

205 E River Park Cir
Ste 460
Fresno, CA 93720
Phone (559) 261-4500

7575 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 449-9990

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 3

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1558922443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 E STROUD AVE",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936319218",
            "telephone_number": "559-289-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E RIVER PARK CIR STE 460",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201585",
            "telephone_number": "559-261-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTANIAN",
        "first_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "ROGERS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.