Individual provider Active NPI

Susan Ann Steiner, FNP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1740250596
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1734A Issued in ID
Practice address
5028 N Teresita Ave
Meridian, ID 83646
Phone
(208) 513-3138
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP1734A ID Primary
Family Nurse Practitioner 363LF0000X 485780 CA

Addresses

Primary practice location

5028 N Teresita Ave
Meridian, ID 83646

Mailing address

5029 N Teresita Ave
Meridian, ID 83646-6191
Phone (208) 513-3138

Other practice location 1

5028 N Teresita Ave
Meridian, ID 83646
UM
Phone (208) 513-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20161110002151 ID Practitioner - Nurse Practitioner 7315238672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolution Joint Pain ClinicGroup PAC ID 0547654469, 2 clinicians

Practice addresses (Care Compare)

947 E Winding Creek Dr
Suite 200
Eagle, ID 83616-7231
Phone (208) 917-2928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
485780CAMDFamily Nurse Practitioner
NP1734AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Chiropractic and Wellness CurrentSince Feb 1, 2023 Accepting new patients
Evolution Joint Pain Clinic CurrentSince Feb 1, 2023 Accepting new patients

Locations

947 E Winding Creek Dr
#200
Eagle, ID 83616
Phone (208) 217-2928

951 E Plaza Dr
Ste 170
Eagle, ID 83616
Phone (208) 917-2928

Interoperability endpoints

  • Direct secure messaging: susan.steiner.1@14191.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1740250596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 N TERESITA AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466191",
            "telephone_number": "208-513-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 N TERESITA AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-513-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5028 N Teresita Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "83646",
            "country_code": "UM",
            "telephone_number": "208-513-3138",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "STEINER",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1734A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "485780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.