Individual provider Active NPI

Suzette Axelgard, FNP-C

  • Family Nurse Practitioner
  • Ely, NV
National Provider Identifier
1629535679
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818524 Issued in NV
Practice address
1500 Avenue H
Ely, NV 89301-2615
Phone
(775) 289-3001
NPI assigned
Feb 26, 2019
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 818524 NV Primary

Addresses

Primary practice location

1500 Avenue H
Ely, NV 89301-2615

Mailing address

PO Box 460
Hurricane, UT 84737-0460
Phone (435) 231-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190605002956 NV Practitioner - Nurse Practitioner 5597098566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301

1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.4 of 100Reported as group
Quality
27.48
Improvement activities
0
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Bee Ririe Hospital Family CurrentSince Jun 15, 2019 Accepting new patients
William Bee Ririe Hospital Current Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince Jun 15, 2019 Accepting new patients
William Bee Ririe Hospital Past Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1629535679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847370460",
            "telephone_number": "435-231-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AVENUE H",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012615",
            "telephone_number": "775-289-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELGARD",
        "first_name": "SUZETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, NV

Sources for this page

Verify at the official NPI Registry.