Active NPI
Susan R Brust, PSYCH NP, CNS
- Psychiatric/Mental Health Nurse Practitioner
- Wausau, WI
National Provider Identifier
1952415085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8103-33
- Practice address
- 1100 Lake View Dr
Wausau, WI 54403-6799 - Phone
- (715) 848-4600
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8103 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R1306952 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8103-33 | WI | Primary |
Addresses
Primary practice location
1100 Lake View Dr
Wausau, WI 54403-6799
Mailing address
N1736 20TH Rd
Wautoma, WI 54982-5920
Phone (507) 269-1841
Other practice location 1
N1736 20th Rd
Wautoma, WI 54982-5920
Phone (507) 269-1861
Other practice location 2
1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone (612) 543-2500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125674 | Other | MN | MMSI |
| 162P6BR | Other | MN | BCBS IND NUMBER |
| 1351033600 | Medicaid | MN | |
| 164P4SU | Other | MN | BCBS GROUP NUMBER |
| 83-60115 | Other | MN | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Marshall St
Suite a
Wausau, WI 54403-6738
Phone (715) 848-4600
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8103 | WI | MD | Physician Assistant |
| 8103-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Heatlh Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients |
Locations
1225 Langlade Rd
Antigo, WI 54409
Phone (715) 623-2394
607 N Sales St
Ste 309
Merrill, WI 54452
Phone (715) 536-9482
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1821106162
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1952415085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1736 20TH RD",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "549825920",
"telephone_number": "507-269-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036799",
"telephone_number": "715-848-4600"
}
],
"practiceLocations": [
{
"address_1": "N1736 20th Rd",
"address_purpose": "LOCATION",
"city": "Wautoma",
"state": "WI",
"postal_code": "549825920",
"country_code": "US",
"telephone_number": "507-269-1861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1313 Penn Ave N",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554113047",
"country_code": "US",
"telephone_number": "612-543-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUST",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PSYCH NP, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8103",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "R1306952",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "8103-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMSI",
"identifier": "125674",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND NUMBER",
"identifier": "162P6BR",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1351033600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "164P4SU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "83-60115",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.