Susan E. Bush Cordrey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.10961-NP Issued in OH

Practice address

1425 Columbus Ave
Lebanon, OH 45036-8258

Phone

(513) 282-3011

Fax

(513) 282-3011

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Wright State University Boonshoft School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holly N Papanek DO LLCGroup PAC ID 8224301551, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Holly N Papanek DO LLC

  • Internal Medicine Physician
  • Waynesville, OH
  • NPI 1275050882
  Medicare reassignment Care Compare group NPD
• Carespring NP, LLC

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1134403595
  Medicare reassignment
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• Valley Medical LTC Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Centerville, OH
  • NPI 1306632708
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trihealth Hospital, Inc.

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1811220635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368258",
            "telephone_number": "513-282-3011",
            "fax_number": "513-282-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368258",
            "telephone_number": "513-282-3011",
            "fax_number": "513-282-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDREY",
        "first_name": "SUSAN",
        "middle_name": "E. BUSH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10961-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Sue Constance, LPN
• Caitlin Coode
• Casey Ryan Cook
• Cynthia M. Cook, M.D.
• Savannah L Cook
• Wendi N Cornett, CDCA
• Correct Healthcare Professionals Inc.
• Chelsea Costello
• Jacob Robert Cottingim, DPT
• Countryside Clinic of Chiropractic, LLC

• Family Nurse Practitioner in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.