Individual provider Active NPI

Susan Trueblood, NP

  • Nurse Practitioner
  • Ranson, WV
National Provider Identifier
1871526319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
69508 Issued in WV
Practice address
300 S Preston St
Ranson, WV 25438-1631
Phone
(304) 728-1600
Fax
(304) 728-1644
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 69508 WV Primary

Addresses

Primary practice location

300 S Preston St
Ranson, WV 25438-1631

Mailing address

4015 Harney Rd
Taneytown, MD 21787-1735
Phone (410) 751-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040319001413 DC Practitioner - Nurse Practitioner 6103716287 Reassigns benefits to 1 organization
I20260302002351 NC Practitioner - Nurse Practitioner 6103716287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Exeter St
Manteo, NC 27954-9400
Phone (252) 475-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
69508WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dare County Administrative Offices CurrentSince Jan 9, 2026 Accepting new patients
MNR Industries, LLC CurrentSince Oct 28, 2017 Accepting new patients
Mep Health, LLC Past Accepting new patients
Yardmore Emergency Physicians LLC Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

109 Exeter St
Manteo, NC 27954
Phone (252) 475-5003

Interoperability endpoints

  • Direct secure messaging: susan.trueblood@direct.daredhhs.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871526319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HARNEY RD",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217871735",
            "telephone_number": "410-751-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PRESTON ST",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381631",
            "telephone_number": "304-728-1600",
            "fax_number": "304-728-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "69508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranson, WV

Sources for this page

Verify at the official NPI Registry.