Individual provider Active NPI

Suzette Marie Orzechowski, APRN

  • Adult Health Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1962779058
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004870 Issued in CT
Practice address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone
(860) 586-7825
Fax
(860) 586-7827
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 004870 CT Primary

Addresses

Primary practice location

9900 Bren Rd E
Minnetonka, MN 55343-9664

Mailing address

72 Farmstead LN
Windsor, CT 06095-1841
Phone (860) 614-4244

Other names 1

  • Miss Suzette Marie Hepler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120221001097 CT Practitioner - Nurse Practitioner 8022276070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004870CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Adult Health CurrentSince Oct 1, 2015 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Oct 1, 2015 Accepting new patients

Locations

1007 Farmington Ave
Ste 9
West Hartford, CT 06107
Phone (860) 586-7825

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Organizations & group practices 2

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1962779058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FARMSTEAD LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951841",
            "telephone_number": "860-614-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "860-586-7825",
            "fax_number": "860-586-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORZECHOWSKI",
        "first_name": "SUZETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "HEPLER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.