Individual provider Active NPI

Susan Duffie, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1871674713
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R777236 Issued in MS
Practice address
499 Gloster Creek VLG
Suite a-3
Tupelo, MS 38801-4600
Phone
(662) 844-1717
Fax
(662) 680-6416
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R777236 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG
Suite a-3
Tupelo, MS 38801-4600

Mailing address

2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 844-1717

Other identifiers 1

IdentifierTypeStateIssuer
0123240MedicaidMS

Other names 1

  • Susan Duffie-Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000766 MS Practitioner - Nurse Practitioner 6204724685 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC CurrentSince Apr 1, 2025 Accepting new patients
Northeast Mental Health-Mental Retardation Commission Current Accepting new patients
Northeast Mental Health-Mental Retardation Commission CurrentSince Jan 3, 2014 Accepting new patients
Northeast Mental Health/Mental Retardation Commission Current Accepting new patients
Mantachie Rural Health Care, Inc Past Accepting new patients
First Care Family Clinic Past Accepting new patients

Locations

2434 S Eason Blvd
Tupelo, MS 38804
Phone (662) 640-4595

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

499 Gloster Creek Vlg
Ste A3
Tupelo, MS 38801
Phone (662) 640-4595

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHBA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871674713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046942",
            "telephone_number": "662-844-1717",
            "fax_number": "662-680-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG",
            "address_2": "SUITE A-3",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-844-1717",
            "fax_number": "662-680-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIE",
        "first_name": "SUSAN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R777236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123240",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DUFFIE-MORGAN",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.