NPIMap

Individual provider Active NPI

Suzanne Marie Vogelsmeier, APRN, BC, MSN, CWS

  • Adult Health Nurse Practitioner
  • Marshall, MO
National Provider Identifier
1962408195
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
109128 Issued in MO
Practice address
2305 South 65 Highway
Marshall, MO 65340-3702
Phone
(660) 831-3553
Fax
(660) 831-3325
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 109128 MO Primary

Addresses

Primary practice location

2305 South 65 Highway
Marshall, MO 65340-3702

Mailing address

2305 South 65 Highway
Suite 104
Marshall, MO 65340-3702
Phone (660) 831-3553

Other identifiers 2

IdentifierTypeStateIssuer
425098431MedicaidMO
1962408195MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000469 MO Practitioner - Nurse Practitioner 0941278659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Missouri LLCGroup PAC ID 2668791690, 13 clinicians

Practice addresses (Care Compare)

1032 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone (314) 965-1346

19550 E 39TH St S
Suite 430
Independence, MO 64057-2307
Phone (816) 698-8890

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 262-7575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109128MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Healogics Specialty Physicians of Missouri, LLC CurrentSince Oct 6, 2015 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Dec 1, 2008 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Specialized Wound Management Great Lakes, LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

19550 E 39th St S
Ste 430
Independence, MO 64057
Phone (816) 698-8890

1415 W White Oak St
Independence, MO 64050
Phone (800) 982-2669

4741 Central St
Kansas City, MO 64112
Phone (816) 265-2551

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

2305 S Highway 65
Ste 104
Marshall, MO 65340

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

1032 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 821-6181

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1962408195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SOUTH 65 HIGHWAY",
            "address_2": "SUITE 104",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-831-3553",
            "fax_number": "660-831-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SOUTH 65 HIGHWAY",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-831-3553",
            "fax_number": "660-831-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELSMEIER",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "APRN, BC, MSN, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "109128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425098431",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962408195",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.