Susan Tracy Wolgamott, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704191164 Issued in MI

Practice address

10 W Square Lake Rd Ste 200
Bloomfield Township, MI 48302-0467

Phone

(248) 221-1845

Fax

(833) 645-2176

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

No

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 MI, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Michigan Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanwolgamott@cdh.directglo.com
• Direct secure messaging: swolgamott295156@direct.hfhs.org

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.

• Ohio County Hospital Corporation

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  Medicare reassignment Care Compare group
• Scope Medical Group PLLC

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1841940905
  Medicare reassignment NPD

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1760894638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 200",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020467",
            "telephone_number": "248-221-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 200",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020467",
            "telephone_number": "248-221-1845",
            "fax_number": "833-645-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGAMOTT",
        "first_name": "SUSAN",
        "middle_name": "TRACY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704191164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Doctor Solutions PLLC
• Christine T Wade, M.D.
• Danny F Watson, MD
• Wellscript Pharmacy LLC
• Whispers Mental Health Therapy
• Grzegorz Zawislak, PT

• Family Nurse Practitioner in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.