Susette Dean, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224267 Issued in LA

Practice address

1416 Gobbler Head Dr
Bogalusa, LA 70427-6091

Phone

(985) 730-6970

Fax

(985) 735-8883

NPI assigned

Feb 10, 2022

Last updated

Jul 28, 2022By 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

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in LA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rapid Urgent Care IncGroup PAC ID 0840437174, 35 clinicians

Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Our Lady of the Angels Hospital IncGroup PAC ID 7012144322, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312
• Riverside Medical Center Hospital, Franklinton, LA, CCN 191313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdean2332618@direct.casso.us.com

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.

• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Mandeville, LA
  • NPI 1285970780
  Medicare reassignment Care Compare group NPD
• Our Lady of the Angels Hospital, Inc.

  dba FMOL Health Our Lady of the Angels

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1912334533
  Medicare reassignment Care Compare group
• Calcasieu Urgent Care LLC

  dba Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• Professional Emergency Medicine Management -- Lake Charles LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1023430766
  Medicare reassignment NPD
• Riverside Emergency Physician Partners LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1083107080
  Medicare reassignment NPD
• Washington Parish Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Bogalusa, LA
  • NPI 1538511043
  Medicare reassignment NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD
• Our Lady of the Angels Hospital, Inc.

  dba FMOL Health Our Lady of the Angels

  • Family Medicine Physician
  • Bogalusa, LA
  • NPI 1205296340
  NPD
• Our Lady of the Lake Physician Group LLC

  dba Our Lady of the Lake Children's Health Developmental Center at McMains

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Our Lady of the Lake Physician Group, LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1588062079
  NPD
• Rapid Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1104272863
  NPD

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

• Our Lady of the Angels Hospital, Inc.

  dba FMOL Health Our Lady of the Angels

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1093140600
  Care Compare affiliation
• Riverside Medical Center

  dba Riverside Pediatrics and Internal Medicine Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1093189797

  Hospital

  Care Compare affiliation
• Riverside Medical Center

  dba Riverside Surgical Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1104290949

  Hospital

  Care Compare affiliation
• Riverside Medical Center

  dba Riverside Cardiology Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1538634977

  Hospital

  Care Compare affiliation
• Riverside Medical Center

  • Critical Access Hospital
  • Franklinton, LA
  • NPI 1700874062
  Care Compare affiliation
• Riverside Medical Center

  dba Riverside Specialty Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1710438361

  Hospital

  Care Compare affiliation
• Riverside Medical Center

  dba Riverside Internal Medicine Clinic

  • Clinic/Center
  • Franklinton, LA
  • NPI 1952751679

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1821742537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 GOBBLER HEAD DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704276091",
            "telephone_number": "985-730-6970",
            "fax_number": "985-735-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31373 Hartley Rd",
            "address_purpose": "LOCATION",
            "city": "Bush",
            "state": "LA",
            "postal_code": "704316115",
            "country_code": "US",
            "telephone_number": "985-445-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 S Columbia St Ste C",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704275881",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-545-1036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273637",
            "country_code": "US",
            "telephone_number": "985-545-1070",
            "fax_number": "985-545-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Lindberg Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588158",
            "country_code": "US",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "SUSETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "224267",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susette.dean@fmolhs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdean2332618@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sdean2332618@direct.casso.us.com",
            "address_1": "1416 Gobbler Head Dr",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704276091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1416 Gobbler Head Dr",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704276091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derek Gavin Davis, CRNA
• Jay Davis
• Oleta Davis, M.ED
• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC
• Dena Children Center LLC
• Department of Health and Hospitals (Washington Parish ADAC)
• Department of Health and Hospitals (Bogalusa Mental Health Center)
• Peggy Dillon
• Dr Susan Anthony Crawford MD Apmc

• Family Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.