Susan Elizabeth Alden, DNP ARNP CS FNPC FPA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277000619 Issued in IL

Practice address

1929 10TH Ave E
Milan, IL 61264-2953

Phone

(309) 787-2600

Fax

(877) 856-9056

NPI assigned

Aug 4, 2005

Last updated

Nov 10, 2020By 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 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milan Medical Group, LTDGroup PAC ID 1951293562, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dralden@mmg-il.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: susanalden@tmhs.medalliesdirect.net

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.

• Milan Medical Group LTD

  dba Blackwood Family Wellness

  • General Practice Physician
  • Milan, IL
  • NPI 1346362589

  Family

  Medicare reassignment Care Compare group NPD
• Active Health & Wellness Center Inc

  • Chiropractor
  • Moline, IL
  • NPI 1740387927
  NPD (past)
• River Bend Christian Counseling Inc

  dba River Bend Christian Counseling

  • Substance Abuse Rehabilitation Facility
  • Moline, IL
  • NPI 1639170285
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1629079280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-2600",
            "fax_number": "877-856-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-2600",
            "fax_number": "877-856-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDEN",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "DNP ARNP CS FNPC FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A058429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000619",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005785",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "209005521",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "T058429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://medallies.prodshare.footholdtechnology.com:8443/xd/services/DocumentRepository_Service",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any format",
            "address_1": "805 19th St",
            "city": "Rock Island",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612012514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sadegh Milad Asefi, D.C.
• Avonlea Cottage of Quad Cities 2, LLC.
• Diane Marie Baldwin, DC
• Sarah Katherine Barten, MA
• Patricia Gerleman Basala, DC

• Family Nurse Practitioner in Milan, IL
• Providers in Milan, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.