Susan K Ethun, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2407-033 Issued in WI

Practice address

2000 N Dewey Ave
Reedsburg, WI 53959-1049

Phone

(608) 768-6255

Fax

(608) 524-0842

NPI assigned

Aug 2, 2005

Last updated

Mar 31, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reedsburg Area Medical Center IncGroup PAC ID 9830008259, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reedsburg Area Medical Center Hospital, Reedsburg, WI, CCN 521351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reedsburg Area Medical Center, Inc.

  • Critical Access Hospital
  • Reedsburg, WI
  • NPI 1891796710
  Medicare reassignment Care Compare group NPD
• Madison Emergency Physicians, SC

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1588646095
  Medicare reassignment NPD
• Reedsburg Area Medical Center Inc

  dba RAMC La Valle Clinic

  • Rural Health Clinic/Center
  • La Valle, WI
  • NPI 1437049566
  NPD

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

• Reedsburg Area Medical Center, Inc.

  • Family Medicine Physician
  • Reedsburg, WI
  • NPI 1457780983

  Hospital

  Care Compare affiliation
• Reedsburg Area Medical Center, Inc.

  • Critical Access Hospital
  • Reedsburg, WI
  • NPI 1891796710
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1821099813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049",
            "telephone_number": "608-768-6255",
            "fax_number": "608-524-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591049",
            "telephone_number": "608-768-6255",
            "fax_number": "608-524-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHUN",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2407-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41183800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Dominguez
• Karlee Dulak, PHARMD
• Christina Marie Eckes, CADC II, LPC
• Owen Richard Elizondo, RN, TCRN
• Rebecca Lyn Maher Eller, MSPT
• Everside Health-Land's End Reedsburg
• Paul Kevin Fernholz, R.PH.
• Kathryn Michele Fitzpatrick, MSE, LPC, NCC
• Sheenah Marie Fitzpatrick, COTA
• Danielle Fleischmann, PHARMD

• Nurse Practitioner in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.