Suzanne B Haines, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5627-33 Issued in WI

Practice address

138 Sunrise CT
Oconto Falls, WI 54154-1261

Phone

(920) 288-9021

NPI assigned

Dec 17, 2013

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzanne.haines@42155926749188.direct.elationemr.com

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.

• Radial Health Southeast LLC

  • Physical Medicine & Rehabilitation Physician
  • Navarre, FL
  • NPI 1174159891
  Medicare reassignment NPD

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1619398633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SUNRISE CT",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541261",
            "telephone_number": "920-288-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SUNRISE CT",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541261",
            "telephone_number": "920-288-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "SUZANNE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5627-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Mary Clare Gavaga
• Kelsey Geenen
• Karlee A Gezella, D-PT
• Gwidt Pharmacy Inc
• Gwidt Pharmacy Inc
• Katie Halverson
• Carla Jean Hedtke, B.S.,M.S.
• Heller Chiropractic, S.C.
• Fred Dana Heller, D.C.
• Heyde Health System Oconto Falls LLC

• Nurse Practitioner in Oconto Falls, WI
• Providers in Oconto Falls, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.