Susan Folsom, APRN-CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1113050 Issued in TX

Practice address

6124 Farrah Dr
Fort Worth, TX 76131-1265

Phone

(469) 506-3595

NPI assigned

Apr 25, 2023

Last updated

Oct 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians

Brazos Physician Services, PAGroup PAC ID 8224501283, 7 clinicians

Texas Wound Care Specialists LLCGroup PAC ID 4183097983, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adaptive Home Health Home health agency, Temple, TX, CCN 458194
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lake Granbury Hospital-Based Professional Services

  • Emergency Medicine Physician
  • Granbury, TX
  • NPI 1689443467
  Medicare reassignment Care Compare group NPD
• Texas Wound Care Specialists LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Plano, TX
  • NPI 1487362851
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• SHH-Standards Home Health Inc

  dba Adaptive Home Health

  • Home Health Agency
  • Temple, TX
  • NPI 1427206549
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1598453813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 FARRAH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 FARRAH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311265",
            "telephone_number": "469-506-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "SUSAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1113050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallye Fogtman, RN
• Debra A Foldoe, NP
• Michelle Elizabeth Folds, FNP-C
• Haley Follet, MSPAS, PA-C, RD, LD
• Rassan Abdull Follis, LCSW, MA
• Francesca Jaime Fong, PA
• Fonner Hearing Aid Center
• Monica M Fonseca-Aten, MD
• Michelle Fonseca, OT
• Ashleigh Marie Fontenot, MD

• Acute Care Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.