Susan A Hornback, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3650 Issued in IA

Practice address

1351 W Main St
Lake City, IA 51449-1585

Phone

(712) 464-3194

Fax

(712) 464-7412

NPI assigned

Mar 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stewart Memorial Community HospitalGroup PAC ID 4486563707, shared by 6 NPIs, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stewart Memorial Community Hospital Hospital, Lake City, IA, CCN 161350

Merit-based Incentive Payment System (MIPS)

Final score

84.59 of 100Reported as group

Quality

90

Promoting interoperability

84

Improvement activities

40

Cost

71.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shornback168018@direct.unitypoint.org

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.

• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188
  Medicare reassignment NPD
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Lake City, IA
  • NPI 1285652909

  Family Medicine

  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Stewart Memorial Community Hospital

  • Certified Registered Nurse Anesthetist
  • Lake City, IA
  • NPI 1831230747
  NPD
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Lake View, IA
  • NPI 1073549853

  Family Medicine

  NPD (past)

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

• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188
  Care Compare affiliation

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1871554857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-3194",
            "fax_number": "712-464-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-3194",
            "fax_number": "712-464-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Drug, Inc.
• Kevin R Hejtmanek, DPT
• Derrick Henkenius
• Rueger J Holmgaard
• Audrey P Hood, T-LMHC
• Megan M Huster
• Jeremy C Johnson, CRNA
• Judisch Vision PC
• Jonathan Paul Judisch, OD
• Jeremie Lee Kent

• Family Medicine Physician in Lake City, IA
• Providers in Lake City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.