Active NPI
Susan L Stabo, FNP
- Nurse Practitioner
- Belcourt, ND
National Provider Identifier
1881782258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R26722
- Practice address
- 1300 Hospital Loop
Belcourt, ND 58316-0160 - Phone
- (701) 477-6111
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R26722 | ND | |
| Nurse Practitioner | 363L00000X | R26722 | ND | Primary |
Addresses
Primary practice location
1300 Hospital Loop
Belcourt, ND 58316-0160
Mailing address
PO Box 160
Belcourt, ND 58316-0160
Phone (701) 477-6111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19807 | Medicaid | ND | |
| 717610400 | Medicaid | MN |
Other names 1
- Susan L Lorenz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
160 1300 Hospital Loop
Belcourt, ND 58316-0160
Hospital & facility affiliations
- P H S Indian Hosp at Belcourt-Quentin N Burdick
- Heart of America Medical Center
- Trinity Hospitals
- Altru Hospital
- Presentation Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.91 of 100
- Quality
- 5.54
- Improvement activities
- 40
- Cost
- 66.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R26722 | ND | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1300 Hospital Loop
Belcourt, ND 58316
4100 W 150th St
#3
Cleveland, OH 44135
Organizations & group practices 2
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.
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Critical Access Hospital
- Rugby, ND
- NPI 1437258969
-
- Critical Access Hospital
- Rolla, ND
- NPI 1265404958
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1881782258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583160160",
"telephone_number": "701-477-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL LOOP",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583160160",
"telephone_number": "701-477-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABO",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R26722",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R26722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19807",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "717610400",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LORENZ",
"middle_name": "L",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Belcourt, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.