Suzette Axelgard, FNP-C

Key facts

NPI

1629535679

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

818524 (NV)

Practice address

1500 Avenue H
Ely, NV 89301-2615

Phone

(775) 289-3001

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• William Bee Ririe Hospital Critical Access Hospital · Ely, NV · NPI 1487648804
  Medicare reassignment Care Compare group NPD NV
• William Bee Ririe Hospital Family Nurse Practitioner · Eureka, NV · NPI 1407365711
  Care Compare group NPD FAMILY
• William Bee Ririe Hospital Family Medicine Physician · Ely, NV · NPI 1437145422
  Care Compare group NPD (past)
• William Bee Ririe Retail Pharmacy Community/Retail Pharmacy · Ely, NV · NPI 1831729268
  NPD

Hospital & facility affiliations 2

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

• Genesis Home Health Services, Inc. Home Health Agency · Ely, NV · NPI 1366786162
  Care Compare affiliation Home health agency
• William Bee Ririe Hospital Critical Access Hospital · Ely, NV · NPI 1487648804
  Care Compare affiliation Hospital

Medicare Care Compare profile

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 Hospital (40 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Home Health Services, Inc Home health agency · Ely, NV · CCN 297205
• William Bee Ririe Hospital Hospital · Ely, NV · CCN 291302

Merit-based Incentive Payment System (MIPS)

Final score

37.4 of 100 (group)

Quality

27.48

Improvement activities

0

Cost

71.43

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2019.

{
    "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": []
}

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All providers in Ely, NV · Family Nurse Practitioner in Nevada