Individual provider Active NPI

Susan M. Renz, NP

  • Primary Care Nurse Practitioner
  • Pottstown, PA
National Provider Identifier
1689853921
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
VP001613H Issued in PA
Practice address
13 Armand Hammer Blvd
Suite 100
Pottstown, PA 19464-5067
Phone
(610) 323-3100
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X VP001613H PA Primary

Addresses

Primary practice location

13 Armand Hammer Blvd
Suite 100
Pottstown, PA 19464-5067

Mailing address

PO Box 525
Phoenixville, PA 19460-0525
Phone (610) 323-3100

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
I20120412000370 PA Practitioner - Nurse Practitioner 7113199100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Pacs 2 PAGroup PAC ID 4486903705, 16 clinicians

Practice addresses (Care Compare)

100 Halcyon Dr
Media, PA 19063-1041
Phone (954) 377-2996

411 N Middletown Rd
Media, PA 19063-4059
Phone (610) 565-8717

700 N Franklin St
West Chester, PA 19380-2334
Phone (610) 696-5211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NJ Pacs 2 PA CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Consultants of Pennsylvania PC Current Accepting new patients
Inpatient Consultants of Pennsylvania PC CurrentSince Mar 11, 2019 Accepting new patients

Locations

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

115 S Providence Rd
Wallingford, PA 19086
Phone (610) 565-3232

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kendal at LongwoodKennett Square, PA, CCN 395307 Skilled nursing facility Corporate Officer
Corporate Director
Managing Control - Governing Body
Apr 11, 2023
Feb 9, 2021
Feb 9, 2021
CrosslandsKennett Square, PA, CCN 395388 Skilled nursing facility Corporate Officer
Corporate Director
Managing Control - Governing Body
Apr 11, 2023
Feb 9, 2021
Feb 9, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1689853921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600525",
            "telephone_number": "610-323-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ARMAND HAMMER BLVD",
            "address_2": "SUITE 100",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645067",
            "telephone_number": "610-323-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "VP001613H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.