Individual provider Active NPI

Susan Burnette, FNP-C

  • Family Nurse Practitioner
  • Sterling, IL
National Provider Identifier
1730658147
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018419 Issued in IL
Practice address
15 W 3Rd St Lowr Level
Sterling, IL 61081-3510
Phone
(815) 564-1999
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 209018419 IL Primary

Addresses

Primary practice location

15 W 3Rd St Lowr Level
Sterling, IL 61081-3510

Mailing address

15 W 3Rd St Lowr Level
Sterling, IL 61081-3510
Phone (815) 564-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190506000448 IL Practitioner - Nurse Practitioner 9133461510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

15 W 3Rd St
Sterling, IL 61081-3510
Phone (815) 625-0226

Hospital & facility affiliations

  • CGH Medical Center Hospital, Sterling, IL, CCN 140043

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Mar 27, 2019 Accepting new patients
CGH Medical Center CurrentSince Mar 27, 2019 Accepting new patients
CGH Medical Center Current Accepting new patients

Locations

15 W 3rd St
Lowr
Sterling, IL 61081
Phone (815) 564-1999

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

15 W 3rd St
Sterling, IL 61081
Phone (815) 564-1999

Interoperability endpoints

  • Direct secure messaging: sburnette21161@cghmc.direct-ci.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 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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1730658147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 3RD ST LOWR LEVEL",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813510",
            "telephone_number": "815-564-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 3RD ST LOWR LEVEL",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813510",
            "telephone_number": "815-564-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "SUSAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

Verify at the official NPI Registry.