Sused Hidalgo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11007271 Issued in FL

Practice address

2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888

Phone

(786) 344-1403

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elevate Psychiatry LLCGroup PAC ID 1254696297, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sused.hidalgo.1@18528.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

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.

• Elevate Psychiatry LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1902346513
  Medicare reassignment Care Compare group NPD
• Viva Hope & Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Springs, FL
  • NPI 1063391431
  Medicare reassignment NPD
• Ep Facility LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1275399933
  NPD

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1790303485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 W 25TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330164402",
            "telephone_number": "786-344-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "786-344-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "SUSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad V Hibbert, DMD
• Kourtney Deon Hicks
• Ana Helena Hidalgo, BCBA
• Ausberto Bienvenido Hidalgo
• Laura Hidalgo, MD
• Arielle Higgs
• High Five Therapy, LLC
• Gary Ronald Hill, D.O.
• Nicholas Hill
• Lakisha Hills Williams

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.