NPIMap

Individual provider Active NPI

Susan Herena, ACNP

  • Acute Care Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1851721583
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4182561 Issued in NY
Practice address
One Cityplace Drive
Suite 570
Saint Louis, MO 63141-7067
Phone
(314) 514-6000
Fax
(866) 497-1239
NPI assigned
Nov 15, 2013
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NR15225100 NJ
Acute Care Nurse Practitioner 363LA2100X 4182561 NY Primary

Addresses

Primary practice location

One Cityplace Drive
Suite 570
Saint Louis, MO 63141-7067

Mailing address

999 Executive Parkway Dr
Suite 210
Saint Louis, MO 63141-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000190 NY Practitioner - Nurse Practitioner 0244653202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians

Practice addresses (Care Compare)

747 3Rd Ave
RM 288
New York, NY 10017-2878
Phone (314) 514-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR15225100NJMDAcute Care Nurse Practitioner
4182561NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. Acute Care CurrentSince Jul 1, 2021 Accepting new patients

Locations

1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060

999 Executive Parkway Dr
Ste 210
Saint Louis, MO 63141
Phone (314) 514-6005

747 3rd Ave
Rm 288
New York, NY 10017

Interoperability endpoints

  • Direct secure messaging: sherena109812@direct-ehr-ssmhc.com
  • Direct secure messaging: sherena305794@ecommunitydirect.com
  • Direct secure messaging: sherena305794@reidhealth.direct-ci.com
  • Direct secure messaging: sherena54445@direct.ahsys.org
  • Direct secure messaging: susan.herena@direct.einstein.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1851721583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CITYPLACE DRIVE",
            "address_2": "SUITE 570",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417067",
            "telephone_number": "314-514-6000",
            "fax_number": "866-497-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERENA",
        "first_name": "SUSAN",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NR15225100",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "4182561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.