Individual provider Active NPI

Suzanne Mardell McDowell, MSN, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hannibal, MO
National Provider Identifier
1942883269
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021013056 Issued in MO
Practice address
4355 Paris Gravel Rd
Hannibal, MO 63401-6017
Phone
(573) 603-1460
Fax
(573) 603-1462
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2019033765 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021013056 MO Primary

Addresses

Primary practice location

4355 Paris Gravel Rd
Hannibal, MO 63401-6017

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214

Other practice location 1

2015 S Halliburton St
Kirksville, MO 63501-4646
Phone (660) 626-0698

Other practice location 2

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103003286 MO Practitioner - Nurse Practitioner 9335537778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

4355 Paris Gravel Rd
Hannibal, MO 63401-6017
Phone (573) 248-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2019033765MOMDRegistered Nurse
2021013056MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Aug 4, 2021 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Aug 4, 2021 Accepting new patients
Preferred Family Healthcare, Inc Current Accepting new patients
Preferred Family Health Care, Inc PastSince May 9, 2021 Accepting new patients

Locations

653 Clinic Rd
Hannibal, MO 63401
Phone (573) 629-2001

4355 Paris Gravel Rd
Hannibal, MO 63401
Phone (573) 248-3811

3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900

2015 S Halliburton St
Kirksville, MO 63501
Phone (660) 626-0698

900 E Laharpe St
Kirksville, MO 63501

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1942883269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 PARIS GRAVEL RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016017",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 S Halliburton St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014646",
            "country_code": "US",
            "telephone_number": "660-626-0698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Laharpe St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014520",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "SUZANNE",
        "middle_name": "MARDELL",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019033765",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021013056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.