Active NPI
Susan Hooten, APRN
- Gerontology Nurse Practitioner
- Morrilton, AR
National Provider Identifier
1629422266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A004732
- Practice address
- 1711 E Harding St
Morrilton, AR 72110-4507 - Phone
- (501) 354-4637
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A004732 | AR | Primary |
Addresses
Primary practice location
1711 E Harding St
Morrilton, AR 72110-4507
Mailing address
220 N Phoenix Ave
Russellville, AR 72801-2826
Other practice location 1
220 N Phoenix Ave
Russellville, AR 72801
Phone (479) 880-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213530758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509000298 | AR | Practitioner - Nurse Practitioner | 7012216336 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 E Harding St
CHI St Vincent Primary Care
Morrilton, AR 72110-4507
Phone (501) 354-4637
4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300
Hospital & facility affiliations
- CHI St Vincent Health at Home
- CHI St Vincent Morrilton
- Conway Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004732 | AR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Current | Accepting new patients | |
| St. Anthony'S Hospital Association | Past | Accepting new patients | |
| St Vincent Physician Clinics LLC | Past | Accepting new patients | |
| St Anthony'S Hospital Association | Past | Accepting new patients |
Locations
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
1711 N Business 9
Morrilton, AR 72110
Phone (501) 354-2456
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
5125 Northshore Dr
North Little Rock, AR 72118
15111 Highway 165
Scott, AR 72142
Phone (501) 552-7999
Interoperability endpoints
- susan.hooten@svmgs.eclinicaldirectplus.com
- shooten468713@direct.stlukeshealth.org
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Morrilton, AR
- NPI 1891778049
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134558398
-
- Rural Health Clinic/Center
- Morrilton, AR
- NPI 1215915459
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Morrilton, AR
- NPI 1801167424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1629422266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N PHOENIX AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E HARDING ST",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721104507",
"telephone_number": "501-354-4637"
}
],
"practiceLocations": [
{
"address_1": "220 N Phoenix Ave",
"address_purpose": "LOCATION",
"city": "Russellville",
"state": "AR",
"postal_code": "72801",
"country_code": "US",
"telephone_number": "479-880-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOTEN",
"first_name": "SUSAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A004732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213530758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morrilton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.