Active NPI
Susan Belk Thiessen, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132662
- Practice address
- 2825 Randolph Rd
Charlotte, NC 28211-1018 - Phone
- (704) 377-1647
- NPI assigned
- Dec 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 132662 | NC | Primary |
Addresses
Primary practice location
2825 Randolph Rd
Charlotte, NC 28211-1018
Mailing address
PO Box 32861
Anesthesia Services - 5TH Floor Surgical Tower
Charlotte, NC 28232-2861
Phone (704) 355-8983
Other practice location 1
1000 Blythe Blvd
anesthesia services -5th floor surgical tower
Charlotte, NC 28203-5812
Phone (704) 355-8983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053699 | Medicaid | NC | |
| SC NAN 921 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 Randolph Rd
Charlotte, NC 28211-1018
Phone (704) 377-1647
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132662 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charlotte Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Fl 5
Charlotte, NC 28203
Phone (704) 355-8983
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952633190
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1891931887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"address_2": "ANESTHESIA SERVICES - 5TH FLOOR SURGICAL TOWER",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111018",
"telephone_number": "704-377-1647"
}
],
"practiceLocations": [
{
"address_1": "1000 Blythe Blvd",
"address_2": "anesthesia services -5th floor surgical tower",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIESSEN",
"first_name": "SUSAN",
"middle_name": "BELK",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "132662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053699",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SC NAN 921",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.