Susanna Funk, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G116903 Issued in IA

Practice address

302 NE 14TH St
Leon, IA 50144-1206

Phone

(641) 446-2382

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, MN, NE, WI4 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 4

Specialty

Nurse Practitioner

Education

University of Iowa, RJ & L Carver College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Neighborhood HealthsourceGroup PAC ID 9133199953, 16 clinicians

Sawtooth Mountain Clinic IncGroup PAC ID 8224940010, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfunk815121@direct.ochin.org
• Direct secure messaging: susanna.funk.1@31765.direct.athenahealth.com

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.

• Evizzit of Iowa Psychiatry PC

  dba Integrated Telehealth Partners

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188

  MN, NE, Psychiatric/Mental Health, WI

  Medicare reassignment Care Compare group NPD
• Neighborhood Healthsource

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1386682078
  Medicare reassignment Care Compare group NPD
• Sawtooth Mountain Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grand Marais, MN
  • NPI 1306832894
  Medicare reassignment Care Compare group NPD
• Neighborhood Healthsource

  dba North Metro Clinic

  • Federally Qualified Health Center (FQHC)
  • Coon Rapids, MN
  • NPI 1659323459
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Community and Family Resources

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1366507790
  NPD (past)
• Evizzit of Iowa Psychiatry PC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1679233183
  NPD (past)
• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Bedford, IA
  • NPI 1417768565
  NPD (past)
• The Richmond Center

  • Mental Health Counselor
  • Ames, IA
  • NPI 1194837286
  NPD (past)
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1598019663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "SUSANNA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G116903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Devine, DNP, PMHNP-BC
• Adam Dosch
• Jena Rae Ellerhoff, DNP, ARNP, PMHNP-BC
• Wendy Jeane Finch-Levis, REGISTER PHARMACIST
• Alli Marie Frain
• Jessie Gilliland
• Gold Standard Chiropractic PLLC
• Melissa Groh, LMSW
• Daniel J Heffron, DC
• Mark S Hensley, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Leon, IA
• Providers in Leon, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.

Verify at the official NPI Registry.