Active NPI
Susan F Corwin, NP
- Nurse Practitioner
- Traverse City, MI
National Provider Identifier
1750430948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 156874
- Practice address
- 1400 Medical Campus Dr
Traverse City, MI 49684-7823 - Phone
- (231) 935-8000
- Fax
- (231) 935-8099
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 156874 | MI | Primary |
Addresses
Primary practice location
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Mailing address
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B86016 | Other | MI | MEDICARE PTAN |
| 431469 | Medicaid | MI |
Other names 1
- Susan Flynn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scorwin@direct.mhc.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156874 | MI | MD | Nurse Practitioner |
Interoperability endpoints
- scorwin@direct.mhc.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1750430948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MEDICAL CAMPUS DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847823",
"telephone_number": "231-935-8000",
"fax_number": "231-935-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDICAL CAMPUS DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847823",
"telephone_number": "231-935-8000",
"fax_number": "231-935-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "SUSAN",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "156874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0B86016",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431469",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scorwin@direct.mhc.net",
"affiliation": "N",
"address_1": "1400 Medical Campus Dr",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496847823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "FLYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.