Individual provider Active NPI

Susan E Miller

  • Family Nurse Practitioner
  • Glenmoore, PA
National Provider Identifier
1639546575
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015202 Issued in PA
Practice address
871 Little Conestoga Rd
Glenmoore, PA 19343-2009
Phone
(610) 662-8692
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 SP015202 PA Primary

Addresses

Primary practice location

871 Little Conestoga Rd
Glenmoore, PA 19343-2009

Mailing address

871 Little Conestoga Rd
Glenmoore, PA 19343-2009
Phone (610) 662-8692

Other names 1

  • Susan E Zindren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151102001782 PA Practitioner - Nurse Practitioner 3173833290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

650 Carnegie Blvd
Suite 100
Malvern, PA 19355-8519
Phone (610) 644-6755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015202PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jan 1, 2025 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jan 1, 2025 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations

1991 Sproul Rd
Ste 230
Broomall, PA 19008
Phone (610) 449-1525

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

325 Central Ave
Ste 200
Malvern, PA 19355

325 Central Ave
Fl 2
Malvern, PA 19355

1088 W Baltimore Pike
Ste 2407
Media, PA 19063
Phone (610) 521-2008

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1639546575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 LITTLE CONESTOGA RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432009",
            "telephone_number": "610-662-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 LITTLE CONESTOGA RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432009",
            "telephone_number": "610-662-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ZINDREN",
            "middle_name": "E",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenmoore, PA

Sources for this page

Verify at the official NPI Registry.