Individual provider Active NPI

Suzanna M Schaefer

  • Family Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1912510306
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014411 Issued in IN
Practice address
305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758
Phone
(812) 590-7230
NPI assigned
Aug 26, 2020
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014411 KY
Family Nurse Practitioner 363LF0000X 3014411 IN Primary

Addresses

Primary practice location

305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758

Mailing address

2630 Elm Hill Pike
Nashville, TN 37214-3166
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20201015002166 IN Practitioner - Nurse Practitioner 0547680308 Reassigns benefits to 2 organizations
I20210603003132 KY Practitioner - Nurse Practitioner 0547680308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, shared by 12 NPIs, 45 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-7865

1995 Edsel LN NW
Corydon, IN 47112-3008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014411KYMDNurse Practitioner
3014411INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 3, 2023 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Apr 1, 2021 Accepting new patients
Little Clinic of in LLC Family CurrentSince Oct 26, 2021 Accepting new patients
Harrison County Hospital CurrentSince Nov 21, 2024 Accepting new patients
Harrison County Hospital CurrentSince Nov 21, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Calcasieu Urgent Care LLC PastSince Jun 27, 2021 Accepting new patients
Harrison County Hospital Past Accepting new patients

Locations

305 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 283-3630

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1995 Edsel Ln NW
Corydon, IN 47112
Phone (502) 572-0802

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1912510306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143166",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291758",
            "telephone_number": "812-590-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "SUZANNA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "3014411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.