Individual provider Active NPI

Suzanne Sherwood

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1902552482
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068328 Issued in TX
Practice address
10312 Country Swan
San Antonio, TX 78240-4405
Phone
(210) 744-2344
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1068328 TX Primary

Addresses

Primary practice location

10312 Country Swan
San Antonio, TX 78240-4405

Mailing address

10312 Country Swan
San Antonio, TX 78240-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221011001452 HI Practitioner - Nurse Practitioner 0143696435 Reassigns benefits to 1 organization
I20240805000250 CO Practitioner - Nurse Practitioner 0143696435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1330 Sidney Ave
Sterling, CO 80751-2241
Phone (970) 522-4888

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1068328TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC CurrentSince Jun 27, 2024 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Aug 11, 2022 Accepting new patients

Locations

1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1902552482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 COUNTRY SWAN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 COUNTRY SWAN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404405",
            "telephone_number": "210-744-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.