Susan Funk, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Cleveland, OH
NPI 1598085953 · NPPES record last updated Jun 9, 2010
Key facts
- NPI
- 1598085953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NP-11490 (OH)
- Practice address
- 18101 Lorain Ave
Cleveland, OH 44111-5612 - Phone
- (216) 476-7000
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Hospital
Practice addresses (Care Compare)
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000
Hospital & facility affiliations
- Fairview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.19 of 100
- Quality
- 95
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000132 | OH | Practitioner - Nurse Practitioner | 9032235387 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-11490 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Avon Hospital | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP-11490 | OH | Yes |
Addresses
Primary practice location
18101 Lorain Ave
Cleveland, OH 44111-5612
Mailing address
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000
Other providers in Cleveland, OH
- Fundamentals First Basketball Academy , LLC
- Christina Fundzak
- Monica T Fundzak
- Misty Funk
- Perry N. Funk
- Brandy Funni
- Christopher G Furey
- Elisabeth Furey
- Erin J Furey
- Margaret M Furey
All providers in Cleveland, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.