NPIMap

Individual provider Active NPI

Susan Z Nordin, M.D.

  • Family Medicine Physician
  • Duluth, MN
National Provider Identifier
1881644268
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38035 Issued in MN
Practice address
615 Niagara Court
Umd Health Services
Duluth, MN 55812-3065
Phone
(218) 726-8155
Fax
(218) 726-8515
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38035 MN Primary

Addresses

Primary practice location

615 Niagara Court
Umd Health Services
Duluth, MN 55812-3065

Mailing address

615 Niagara Court
Umd Health Services
Duluth, MN 55812-3065
Phone (218) 726-8155

Other identifiers 1

IdentifierTypeStateIssuer
277024500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040205001078 MN Practitioner - Family Practice 7517850209 Reassigns benefits to 6 organizations
I20040402000447 WI Practitioner - Family Practice 7517850209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polinsky Medical Rehabilitation CenterGroup PAC ID 0941377360, 369 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38035MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Mar 16, 2020 Accepting new patients
Pine Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Pine Medical Center CurrentSince Jun 1, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Mar 16, 2020 Accepting new patients
St Marys Medical Center CurrentSince Mar 1, 2020 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Mary's Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Essentia Health Moose Lake Current Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Essentia Health Moose Lake CurrentSince Mar 13, 2023 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Oct 2, 2020 Accepting new patients

Locations

615 Niagara Ct
Duluth, MN 55812
Phone (218) 726-8155

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1881644268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NIAGARA COURT",
            "address_2": "UMD HEALTH SERVICES",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "telephone_number": "218-726-8155",
            "fax_number": "218-726-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NIAGARA COURT",
            "address_2": "UMD HEALTH SERVICES",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123065",
            "telephone_number": "218-726-8155",
            "fax_number": "218-726-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "SUSAN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277024500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.