Susan Mary Minter, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024167550 Issued in VA

Practice address

21344 Race Horse LN
Brooksville, FL 34604-6735

Phone

(571) 214-6755

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 360 Medical Care LLC

  • Infusion Therapy Clinic/Center
  • Brooksville, FL
  • NPI 1649861790
  Medicare reassignment NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1740477454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21344 RACE HORSE LN",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346046735",
            "telephone_number": "571-214-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21344 RACE HORSE LN",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346046735",
            "telephone_number": "571-214-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024167550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mayer Miller, D.P.M.
• Jenna Ann Miller, LMHC
• Pamela Miller
• Xavia Miller
• Cassandra Mills, ARNP
• Mira Zelin, DO, LLC
• Mirra Medical Group LLC
• Mitchell S Halperin M.D., P.a.
• Sylvia Mitchell-Jones
• Maya Camilla Mitchell, M.A., BCBA

• Adult Health Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.