Individual provider Active NPI

Susan Rae Myers, CNM

  • Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1992024491
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
222186 Issued in AR
Practice address
3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016
Phone
(479) 338-4000
Fax
(479) 338-4050
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 222186 AR
Advanced Practice Midwife 367A00000X 2010014311 MO
Nurse Practitioner 363L00000X 222186 AR Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016

Mailing address

3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016
Phone (479) 338-4000

Other practice location 1

1532 W 32nd St
Ste 201
Joplin, MO 64804-1607
Phone (417) 347-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110210000195 MO Practitioner - Certified Nurse Midwife (CNM) 9436339348 Reassigns benefits to 1 organization
I20230403002606 AR Practitioner - Nurse Practitioner 9436339348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-6813

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222186ARMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 21, 2022 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince May 26, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 21, 2022 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

3333 S Pinnacle Hills Pkwy
Ste 600
Rogers, AR 72758
Phone (479) 338-4000

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 540
Joplin, MO 64804
Phone (417) 556-6876

100 Mercy Way
#470
Joplin, MO 64804
Phone (417) 556-6813

Interoperability endpoints

  • Direct secure messaging: smyers1354252@directc.mercy.net

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.

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1992024491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 600",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589016",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 600",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589016",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 W 32nd St",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041607",
            "country_code": "US",
            "telephone_number": "417-347-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "222186",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2010014311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "222186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.