Individual provider Active NPI

Susan K Mueller, APRN, CNP

  • Family Nurse Practitioner
  • Sycamore, IL
National Provider Identifier
1811225261
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000841 Issued in IL
Practice address
661 S Peace Rd
Sycamore, IL 60178-1642
Phone
(815) 991-3571
Fax
(815) 991-3571
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0997036-NP CO
Nurse Practitioner 363L00000X 209007903 IL
Family Nurse Practitioner 363LF0000X 277000841 IL Primary

Addresses

Primary practice location

661 S Peace Rd
Sycamore, IL 60178-1642

Mailing address

661 S Peace Rd
Sycamore, IL 60178-1642
Phone (815) 991-3571

Other practice location 1

1159 Eagle Dr
Loveland, CO 80537-8020
Phone (970) 219-5223

Other names 1

  • Susan K Bridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100222000471 IL Practitioner - Nurse Practitioner 8820132392 Reassigns benefits to 5 organizations
I20231020000637 CO Practitioner - Nurse Practitioner 8820132392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1420 W Pioneer Pkwy
Peoria, IL 61615-1941

224 Cowbell Dr
Berthoud, CO 80513-3829

661 S Peace Rd
Sycamore, IL 60178-1642

759 John St
Suite C
Yorkville, IL 60560-4717

800 Market St
Suite 500
Saint Louis, MO 63101-2501

Hospital & facility affiliations

  • Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012
  • Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209007903ILMDNurse Practitioner
277000841ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Aug 6, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 6, 2023 Accepting new patients
Sycamore Medical Associates LLC CurrentSince Jun 1, 2017 Accepting new patients
Am Urgent Care LTD CurrentSince Aug 8, 2024 Accepting new patients
Rochelle Community Hospital Association Nurse Practitioner Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 9, 2024 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Jan 31, 2011 Accepting new patients
Cardinal Medical Group, LTD. PastSince Dec 15, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

221 E 29th St
Ste 105
Loveland, CO 80538
Phone (970) 776-3222

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

75 Remittance Dr
Dept 1620
Chicago, IL 60675

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

1201 1st Ave
Rock Falls, IL 61071
Phone (773) 454-9921

2560 Hauser Ross Dr
Ste 450
Sycamore, IL 60178
Phone (815) 748-0315

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCDA

Organizations & group practices 10

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 2

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1811225261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S PEACE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781642",
            "telephone_number": "815-991-3571",
            "fax_number": "815-991-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S PEACE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781642",
            "telephone_number": "815-991-3571",
            "fax_number": "815-991-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805378020",
            "country_code": "US",
            "telephone_number": "970-219-5223",
            "fax_number": "970-449-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0997036-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRIDGE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.