Susan G Mours, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1038-033 Issued in WI

Practice address

400 Woodland Prime
N74W12501 Leatherwood Court
Menomonee Falls, WI 53051-4490

Phone

(414) 777-0811

Fax

(414) 777-3529

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenosha Pathology Consultants

  • Anatomic Pathology & Clinical Pathology Physician
  • Kenosha, WI
  • NPI 1790812857
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1790732626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W232N7970 NESTING CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895702",
            "telephone_number": "262-818-4228",
            "fax_number": "262-653-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WOODLAND PRIME",
            "address_2": "N74W12501 LEATHERWOOD COURT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-0811",
            "fax_number": "414-777-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6308 8th Avenue",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "53143",
            "country_code": "US",
            "telephone_number": "262-653-5300",
            "fax_number": "262-653-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURS",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "1038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1038-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43894500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Laura Mork, MD
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• Suzanne E. Moser, LCSW
• Kevin Moss, M.D.
• Marissa Mowery, LCSW
• Moxie Medispa LLC
• Colleen Mrotek, APNP
• Kathryn Mueller, OD
• Hafiz Muhammad Faizan Mughal, MBBS

• Family Nurse Practitioner in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.