Susan Becker, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Saginaw, MI
NPI 1659795334 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1659795334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704210832 (MI)
- Practice address
- 1015 S Washington Ave
Saginaw, MI 48601 - Phone
- (989) 754-3000
- Fax
- (989) 754-3006
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mymichigan Medical Center Saginaw
Practice addresses (Care Compare)
1015 S Washington Ave
Saginaw, MI 48601-2556
1117 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-8467
Phone (989) 754-3000
295 Maple St
Tawas City, MI 48763-9352
800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000
Hospital & facility affiliations
- Mymichigan Medical Center Saginaw
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140328000273 | MI | Practitioner - Nurse Practitioner | 0244461630 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704210832 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Family | Current |
Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Memorial Hospital | Family | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704210832 | MI | Yes |
Addresses
Primary practice location
1015 S Washington Ave
Saginaw, MI 48601
Mailing address
PO Box 779
Tawas City, MI 48764-0779
Phone (989) 754-3000
Other practice location 1
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.becker.1@11016.direct.athenahealth.com |
Other providers in Saginaw, MI
- Noah Beaumont
- Sharon Beauregard
- Desire Beavers
- Halie Renae Beck
- Kara Beck
- Jessica Nicole Beckwith
- Courtney Bedtelyon
- Jessica Beduhn
- Alyssa Marie Beebe
- Payten Alexis Beebee
All providers in Saginaw, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.