Individual provider Active NPI

Susan L Stevens, FNP

  • Family Nurse Practitioner
  • Wellington, KS
National Provider Identifier
1770218596
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81161 Issued in KS
Practice address
507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone
(620) 326-3301
NPI assigned
Jul 18, 2022
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 53-81161 KS Primary

Addresses

Primary practice location

507 E 16TH St Ste 1
Wellington, KS 67152-2828

Mailing address

507 E 16TH St Ste 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Other names 1

  • Susan L McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220902001099 KS Practitioner - Nurse Practitioner 5698159069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner County Family Care Center PAGroup PAC ID 7719973585, 8 clinicians

Practice addresses (Care Compare)

507 E 16TH St
Suite 1
Wellington, KS 67152-2828
Phone (620) 326-3301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81161KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gracemed Health Clinic, Inc CurrentSince Sep 19, 2022 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Jun 13, 2023 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Sep 19, 2022 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Jun 13, 2023 Accepting new patients
Ascension Medical Group Via Christi, PA Past Accepting new patients

Locations

102 E Main St
Mulvane, KS 67110
Phone (316) 777-0106

507 E 16th St
Ste 1
Wellington, KS 67152
Phone (620) 326-2865

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

1150 N Broadway Ave
Wichita, KS 67214

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

4910 W 1st St N
Wichita, KS 67212

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1770218596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E 16TH ST STE 1",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522828",
            "telephone_number": "620-326-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCDANIEL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.