Individual provider Active NPI

Susan Therese Pope, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1962786368
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230964 Issued in NC
Practice address
1420 Westover Ter
Greensboro, NC 27408-2007
Phone
(336) 808-0924
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230964 NC Primary

Addresses

Primary practice location

1420 Westover Ter
Greensboro, NC 27408-2007

Mailing address

1237 Abbotts Creek Cir
Kernersville, NC 27284-3757
Phone (336) 391-5894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20231214000705 ME Practitioner - Nurse Practitioner 4183073232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Coast Regional Health FacilitiesGroup PAC ID 1052208113, 73 clinicians

Practice addresses (Care Compare)

32 Resort Way
Ellsworth, ME 04605-1717

50 Union St
Ellsworth, ME 04605-1534

Hospital & facility affiliations

  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
230964NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Dec 10, 2023 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Dec 10, 2023 Accepting new patients

Locations

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

32 Resort Way
Ellsworth, ME 04605
Phone (207) 664-5480

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1962786368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 ABBOTTS CREEK CIR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843757",
            "telephone_number": "336-391-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082007",
            "telephone_number": "336-808-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "SUSAN",
        "middle_name": "THERESE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "230964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.