Active NPI
Suzanne Marie Rossiter, AGPCNP
- Gerontology Nurse Practitioner
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71011404A
- Practice address
- 12750 St Francis Dr Ste 310
Crown Point, IN 46307-0264 - Phone
- (219) 213-2280
- Fax
- (219) 213-2281
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 71011404A | IN | |
| Nurse Practitioner | 363L00000X | 28160468A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71011404A | IN | Primary |
Addresses
Primary practice location
12750 St Francis Dr Ste 310
Crown Point, IN 46307-0264
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
297 W Franciscan Dr Ste 104
Crown Point, IN 46307-4859
Phone (219) 213-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
297 W Franciscan
Suite 104
Crown Point, IN 46307-4859
Phone (219) 662-6543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28160468A | IN | MD | Nurse Practitioner |
| 71011404A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
297 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 322-7900
297 W Franciscan Dr
Ste 104
Crown Point, IN 46307
Phone (219) 213-2280
12750 Saint Francis Dr
Ste 310
Crown Point, IN 46307
Phone (219) 213-2280
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
1116 N 16th St
Lafayette, IN 47904
Phone (765) 423-6300
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1841869740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 ST FRANCIS DR STE 310",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070264",
"telephone_number": "219-213-2280",
"fax_number": "219-213-2281"
}
],
"practiceLocations": [
{
"address_1": "297 W Franciscan Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463074859",
"country_code": "US",
"telephone_number": "219-213-2280",
"fax_number": "219-681-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSITER",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "IN",
"license": "71011404A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28160468A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71011404A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.