Susan Malishan Horton, ARNP
Individual provider Active NPI Nurse Practitioner · Monticello, FL
NPI 1922201474 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1922201474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP 2217272 (FL)
- Practice address
- 1255 W Washington St
Monticello, FL 32344-1128 - Phone
- (850) 342-0170
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240111002032 | FL | Practitioner - Nurse Practitioner | 6406949262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2217272 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apalachee Center, Inc. | Current |
Accepting new patients | |
| Robert a. Norman, D.O., P.a. | Past | Accepting new patients |
Locations
225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 363-0906
79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422
2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3440
2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 2217272 | FL | Yes |
Addresses
Primary practice location
1255 W Washington St
Monticello, FL 32344-1128
Mailing address
1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308414100 | Medicaid | FL |
Other providers in Monticello, FL
- Mel Charles Hartsfield
- Lisa Hayes
- Katie Peterich Head
- Holiday CVS LLC
- Morgan Shelby Hooks
- Marcia Lynn Hunt
- Intecelle, Inc.
- Camryn Jackson
- Jacksons Drugs of Monticello Inc
- James a Stephens OD & Associates PA
All providers in Monticello, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.