Individual provider Active NPI

Susan Eileen Schorer, APRN

  • Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1770075574
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005524 Issued in AR
Practice address
303 E Matthews Ave Ste 200
Jonesboro, AR 72401-3120
Phone
(870) 207-2926
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005524 AR Primary

Addresses

Primary practice location

303 E Matthews Ave Ste 200
Jonesboro, AR 72401-3120

Mailing address

303 E Matthews Ave Ste 200
Jonesboro, AR 72401-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180726000891 AR Practitioner - Nurse Practitioner 9335496090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

303 E Matthews Ave
Suite 100
Jonesboro, AR 72401-3113
Phone (870) 207-2926

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Jan 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Medical Plaza Urology Associates PastSince Jun 15, 2015 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472

303 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 207-2926

Interoperability endpoints

  • Direct secure messaging: sschorer@sbpc.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1770075574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013120",
            "telephone_number": "870-207-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORER",
        "first_name": "SUSAN",
        "middle_name": "EILEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.