Individual provider Active NPI

Susie Danielle Clerge, MSN, FNP-C, APRN

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1639791643
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363LF000X Issued in TN
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5016
Phone
(865) 983-7211
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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 363LF000X TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5016

Mailing address

9817 Crested Butte LN
Knoxville, TN 37922-7145
Phone (865) 454-6238

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sdclerge@bmh.net
Direct Messaging Address sdclerge@bmh.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200702002639 TN Practitioner - Nurse Practitioner 2062835358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians

Practice addresses (Care Compare)

252 Cherokee Professional Park
Maryville, TN 37804-5153
Phone (865) 980-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
363LF000XTNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Partners of East Tennessee, PLLC Family CurrentSince Sep 28, 2020 Accepting new patients
Well-Key Health, PLLC CurrentSince Oct 16, 2020 Accepting new patients
Housecall Primary Care, PLLC PastSince Sep 28, 2020 Accepting new patients

Locations

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

252 Cherokee Professional Park
Maryville, TN 37804

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

Interoperability endpoints

  • Direct secure messaging: sclerge872827@direct.ghs.myhfn.org
  • Direct secure messaging: susie.clerge@3725.securemail.prognocis.com

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 3

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1639791643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 CRESTED BUTTE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227145",
            "telephone_number": "865-454-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045016",
            "telephone_number": "865-983-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERGE",
        "first_name": "SUSIE",
        "middle_name": "DANIELLE",
        "credential": "MSN, FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "363LF000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdclerge@bmh.net",
            "affiliation": "N",
            "address_1": "907 E LaMar Alexander Pkwy",
            "city": "Maryville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378045016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdclerge@bmh.net",
            "affiliation": "N",
            "address_1": "907 E LaMar Alexander Pkwy",
            "city": "Maryville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378045016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.