Susan Kay Chobanov
Individual provider Active NPI Registered Nurse · Eagle River, WI
NPI 1609836360 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609836360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 122740 (WI)
- Practice address
- 1897 McKinley Blvd
Eagle River, WI 54521-8453 - Phone
- (715) 477-2198
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122740 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 122740 | WI | Yes |
Addresses
Primary practice location
1897 McKinley Blvd
Eagle River, WI 54521-8453
Mailing address
1897 McKinley Blvd
Eagle River, WI 54521-8453
Phone (715) 477-2198
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38324400 | Medicaid | WV |
Other providers in Eagle River, WI
- Marianne Bergs
- Jill K Brunstad
- Veronica Jo Shelby Buchweitz
- Bradley Camp
- Kathryn A Carr
- Kristine Cloutier
- Alayna Colombino
- Comprehensive Foot & Ankle, SC
- County of Vilas
- Erika Crockford
All providers in Eagle River, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.