Active NPI
Susan Lynn Drust, F.N.P.
- Nurse Practitioner
- Norton Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704168366
- Practice address
- 493 W Norton Ave Ste 1
Norton Shores, MI 49444-3748 - Phone
- (231) 375-5251
- Fax
- (231) 375-8439
- NPI assigned
- Jul 4, 2006
- Last updated
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704168366 | MI | Primary |
| General Practice Registered Nurse | 163WG0000X | 4704168366 | MI |
Addresses
Primary practice location
493 W Norton Ave Ste 1
Norton Shores, MI 49444-3748
Mailing address
5100 Gay St
Norton Shores, MI 49441-5724
Phone (231) 327-9544
Other practice location 1
296 Seminole Rd
Norton Shores, MI 49444-3733
Phone (231) 375-5251
Other names 1
- Susan Lynn De Barbaran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704168366 | MI | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan L Drust NP PLLC | Current | Accepting new patients | |
| Renae L Crozier | Nurse Practitioner | Current | Accepting new patients |
| Nes Michigan, Inc. | Past | Accepting new patients |
Locations
296 Seminole Rd
Norton Shores, MI 49444
Phone (231) 375-5251
493 W Norton Ave
Ste 1
Norton Shores, MI 49444
Phone (231) 375-5251
493 W Norton Ave
Ste A
Norton Shores, MI 49444
Phone (231) 375-5251
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHGHAD
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Norton Shores, MI
- NPI 1215930854
-
- Clinic/Center
- Norton Shores, MI
- NPI 1174166052
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- Monroe, MI
- NPI 1982862603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1619907722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 GAY ST",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415724",
"telephone_number": "231-327-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 W NORTON AVE STE 1",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443748",
"telephone_number": "231-375-5251",
"fax_number": "231-375-8439"
}
],
"practiceLocations": [
{
"address_1": "296 Seminole Rd",
"address_purpose": "LOCATION",
"city": "Norton Shores",
"state": "MI",
"postal_code": "494443733",
"country_code": "US",
"telephone_number": "231-375-5251",
"fax_number": "231-375-8439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRUST",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704168366",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MI",
"license": "4704168366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DE BARBARAN",
"middle_name": "LYNN",
"credential": "F.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.