NPIMap

Individual provider Active NPI

Susan N Bohnstedt, P.A.

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1720192073
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1525 Issued in OK
Practice address
13401 N Western Ave
Oklahoma City, OK 73114-1408
Phone
(405) 252-3450
Fax
(405) 252-3499
NPI assigned
Aug 17, 2006
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1525 OK Primary

Addresses

Primary practice location

13401 N Western Ave
Oklahoma City, OK 73114-1408

Mailing address

13401 N Western Ave
Oklahoma City, OK 73114-1408
Phone (405) 252-3450

Other names 1

  • Susan N Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060905000302 OK Practitioner - Physician Assistant 6406850452 Reassigns benefits to 2 organizations
I20220426002209 TX Practitioner - Physician Assistant 6406850452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 30, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 26, 2012 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 26, 2012 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200

18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

100 W Main St
Oklahoma City, OK 73102

13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400

13401 N Western Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 252-3450

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: sbohnstedt18069@muscogeecreeknation.direct-ci.com
  • Direct secure messaging: sbohnstedt431722@direct-ehr-ssmhc.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1720192073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-252-3450",
            "fax_number": "405-252-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141408",
            "telephone_number": "405-252-3450",
            "fax_number": "405-252-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNSTEDT",
        "first_name": "SUSAN",
        "middle_name": "N",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "NGUYEN",
            "middle_name": "N",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.