Individual provider Active NPI

Mary Suzanne McCutchan, NP

  • Nurse Practitioner
  • Fruita, CO
National Provider Identifier
1801394473
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0993306-NP Issued in CO
Practice address
551 Kokopelli Blvd Unit H
Fruita, CO 81521-6305
Phone
(970) 858-2530
Fax
(970) 858-1196
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0993306-NP CO
Nurse Practitioner 363L00000X APN.0993306-NP CO Primary

Addresses

Primary practice location

551 Kokopelli Blvd Unit H
Fruita, CO 81521-6305

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900

Other names 1

  • Mary Suzanne Freeman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzymccutchan@fhwco.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180213000607 CO Practitioner - Nurse Practitioner 5496015471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

P O Box
Suite 130
Fruita, CO 81521-0130

PO Box
Suite 130
Fruita, CO 81521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993306-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association Current Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 1, 2019 Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 2, 2018 Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 2, 2018 Accepting new patients

Locations

551 Kokopelli Blvd
Unit H
Fruita, CO 81521
Phone (970) 858-2530

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

281 N Plum St
Fruita, CO 81521
Phone (970) 858-2530

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

300 W Ottley Ave
#W
Fruita, CO 81521

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 6

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1801394473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT H",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2530",
            "fax_number": "970-858-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993306-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993306-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzymccutchan@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 Kokopelli Blvd Ste 1",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815213308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FREEMAN",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.