Individual provider Active NPI

Susan Lynn Drust, F.N.P.

  • Nurse Practitioner
  • Norton Shores, MI
National Provider Identifier
1619907722
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704168366 Issued in MI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000337 MI Practitioner - Nurse Practitioner 6901850924 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704168366MIMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Susan L Drust NP PLLC Current Accepting new patients
Renae L Crozier Nurse Practitioner CurrentSince Oct 8, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.