Susan Kreager, RDN, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

087 Issued in WY

Practice address

643 Blue Sky Hwy 132
Ethete, WY 82520

Phone

(307) 332-8035

NPI assigned

Feb 28, 2017

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as group

Quality

82.09

Promoting interoperability

98

Improvement activities

40

Cost

75.1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/

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.

• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment NPD
• Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Casper, WY
  • NPI 1811909807
  NPD (past)
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  NPD (past)
• Sheridan Memorial Sameday Health & Imaging Urgent Care

  • Urgent Care Clinic/Center
  • Sheridan, WY
  • NPI 1124764915
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1881134500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "HUDSON",
            "state": "WY",
            "postal_code": "825150382",
            "telephone_number": "307-438-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 BLUE SKY HWY 132",
            "city": "ETHETE",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "307-332-8035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Glory lane",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "82520",
            "country_code": "US",
            "telephone_number": "307-438-2405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 Blue Sky Hwy",
            "address_purpose": "LOCATION",
            "city": "Ethete",
            "state": "WY",
            "postal_code": "825209368",
            "country_code": "US",
            "telephone_number": "307-332-8035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 W 5th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREAGER",
        "first_name": "SUSAN",
        "credential": "RDN, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WY",
            "license": "087",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "087",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WY",
            "license": "087",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WY",
            "license": "087",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia E Antelope, LPN
• Samuel David Cross, MD
• Northern Arapaho Tribal Health Programs
• Northern Arapaho Tribal Health Programs
• Saundra Suzanne Siebersma, PPC
• Nicholas Ryan Valoff, RN
• Wind River Family & Community Health Care (Wind River Cares - Ethete)

• Registered Dietitian in Ethete, WY
• Providers in Ethete, WY by specialty
• Registered Dietitian in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.

Verify at the official NPI Registry.