Active NPI
Susan A Walz, CRNA
- Certified Registered Nurse Anesthetist
- West Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 119390
- Practice address
- 1221 S Gear Ave
West Burlington, IA 52655-1679 - Phone
- (319) 768-1000
- Fax
- (319) 768-3460
- NPI assigned
- Jul 9, 2008
- Last updated
- Jan 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 119390 | IA | Primary |
Addresses
Primary practice location
1221 S Gear Ave
West Burlington, IA 52655-1679
Mailing address
PO Box 540
West Burlington, IA 52655-0540
Phone (319) 768-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851554703 | Medicaid | IA | |
| P00623409 | Other | IA | RAILROAD MEDICARE |
| 119390 | Other | IA | LICENSE |
Other names 1
- Susan A Schumann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000
5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 372-6530
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119390 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Green Anesthesia Iowa PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Fort Madison, IA
- NPI 1649143157
Nurse Anesthetist, Certified Registered
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
dba Great River Home Health and Hospice
- Community Based Hospice Care Agency
- West Burlington, IA
- NPI 1053315002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1851554703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526550540",
"telephone_number": "319-768-1000",
"fax_number": "319-768-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551679",
"telephone_number": "319-768-1000",
"fax_number": "319-768-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALZ",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "119390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851554703",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00623409",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "119390",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SCHUMANN",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.