Active NPI
Susan M Bender, RN
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1801094594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 127042
- Practice address
- 4251 Forest Park Ave
Saint Louis, MO 63108-2810 - Phone
- (314) 531-7526
- Fax
- (314) 531-3190
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 127042 | MO | Primary |
Addresses
Primary practice location
4251 Forest Park Ave
Saint Louis, MO 63108-2810
Mailing address
4251 Forest Park Ave
Saint Louis, MO 63108-2810
Phone (314) 531-7526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420766107 | Medicaid | MO |
Other names 1
- Susan M Bowen-Bender
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Louis, MO
- NPI 1205898574
IL
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1801094594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082810",
"telephone_number": "314-531-7526",
"fax_number": "314-531-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082810",
"telephone_number": "314-531-7526",
"fax_number": "314-531-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "127042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420766107",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BOWEN-BENDER",
"middle_name": "M",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.