Susan M Anderson, FNP – Nurse Practitioner

Key facts

NPI: 1891726709
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: APN11629 (TN)
Practice address: 831B Nashville Pike
Gallatin, TN 37066-3103
Phone: (615) 206-0500
Fax: (615) 206-0092
NPI assigned: Jul 6, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Family Health Care of Gallatin Family Nurse Practitioner · Gallatin, TN · NPI 1467486597

Medicare reassignment Care Compare group Authorized official TN
Crossroads Medical Group, PLLC Clinic/Center · White House, TN · NPI 1073539607

Medicare reassignment TN
TN Womens Health LLC Women's Health Nurse Practitioner · Lafayette, TN · NPI 1366156028

NPD

Hospital & facility affiliations 3

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

Healthfield of Tennessee, LLC Home Health Agency · Lebanon, TN · NPI 1659301737

Care Compare affiliation Home health agency
Hendersonville Hospital Corporation General Acute Care Hospital · Hendersonville, TN · NPI 1538114434

Care Compare affiliation Hospital
Sumner Regional Medical Center LLC General Acute Care Hospital · Gallatin, TN · NPI 1447571658

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2005
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Family Health Care of Gallatin (2 clinicians)

Practice addresses (Care Compare)

831 B Nashville Pike
Gallatin, TN 37066-3103
Phone (615) 206-0500

Hospital & facility affiliations

Centerwell Home Health Home health agency · Lebanon, TN · CCN 447191
Highpoint Health-Sumner With Ascension Saint Thoma Hospital · Gallatin, TN · CCN 440003
Tristar Hendersonville Medical Center Hospital · Hendersonville, TN · CCN 440194

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20060417000711	TN	Practitioner - Nurse Practitioner	1052320819	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
TN Womens Health LLC		Current since Jan 1, 2023	Accepting new patients

Locations

831B Nashville Pike
Gallatin, TN 37066
Phone (615) 206-0500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	APN11629	TN	Yes

Addresses

Primary practice location

831B Nashville Pike
Gallatin, TN 37066-3103

Mailing address

831B Nashville Pike
Gallatin, TN 37066-3103
Phone (615) 206-0500

Other identifiers

Identifier	Type	State	Issuer
3642917	Medicaid	TN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891726709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831B NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663103",
            "telephone_number": "615-206-0500",
            "fax_number": "615-206-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831B NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663103",
            "telephone_number": "615-206-0500",
            "fax_number": "615-206-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN11629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642917",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

All providers in Gallatin, TN · Nurse Practitioner in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.