Individual provider Active NPI

Susan Burgess Sisk, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1740872134
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179736 Issued in VA
Practice address
9109 Stony Point Parkway
Richmond, VA 23235
Phone
(804) 560-8950
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 0024179736 VA Primary

Addresses

Primary practice location

9109 Stony Point Parkway
Richmond, VA 23235

Mailing address

4613 Bromley LN
Richmond, VA 23226-1201
Phone (804) 937-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211214001265 VA Practitioner - Nurse Practitioner 7214327865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

Practice addresses (Care Compare)

9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urology Center, P.C. CurrentSince Apr 3, 2025 Accepting new patients
Virginia Urology Center CurrentSince Apr 3, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Aug 31, 2021 Accepting new patients

Locations

6 Doctors Dr
Emporia, VA 23847
Phone (434) 336-1900

8152 Pleasant Grove Rd
Mechanicsville, VA 23116
Phone (804) 730-5023

2025 Waterside Rd
Ste 105
Prince George, VA 23875

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9101 Stony Point Dr
Richmond, VA 23235

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000

6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137

1700 Mills Rd
Ste B
Richmond, VA 23233

1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953

Interoperability endpoints

  • Direct secure messaging: susan.sisk.1@30293.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1740872134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BROMLEY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261201",
            "telephone_number": "804-937-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 STONY POINT PARKWAY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-560-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "SUSAN",
        "middle_name": "BURGESS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.