Individual provider Active NPI

Susanne T Baisch, FNP

  • Family Nurse Practitioner
  • Port Royal, SC
National Provider Identifier
1912908344
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 2105 Issued in SC
Practice address
1680B Ribaut Rd
Port Royal, SC 29935-2008
Phone
(843) 521-9879
NPI assigned
Aug 9, 2005
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 APN 2105 SC Primary

Addresses

Primary practice location

1680B Ribaut Rd
Port Royal, SC 29935-2008

Mailing address

1109 Laurel St
Port Royal, SC 29935-1911
Phone (843) 271-2713

Other names 1

  • Mrs. Frances Susanne Tuttle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140404001329 SC Practitioner - Nurse Practitioner 9436381423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

989 Ribaut Rd
Suite 310
Beaufort, SC 29902-5426
Phone (843) 522-7350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2105SCMDAthletic Trainer
APN 2105SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Feb 1, 2016 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Feb 1, 2016 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

989 Ribaut Rd
Ste 310
Beaufort, SC 29902
Phone (843) 522-7350

11 Arley Way
#102
Bluffton, SC 29910
Phone (843) 706-8660

1680B Ribaut Rd
Port Royal, SC 29935
Phone (843) 521-9879

Interoperability endpoints

  • Direct secure messaging: susanne.baisch.1@16436.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1912908344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LAUREL ST",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351911",
            "telephone_number": "843-271-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680B RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352008",
            "telephone_number": "843-521-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISCH",
        "first_name": "SUSANNE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "TUTTLE",
            "middle_name": "SUSANNE",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.