Susan Adkins Stabene, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3615 Issued in SC

Practice address

1676 N Highway 17
Mount Pleasant, SC 29464-3310

Phone

(843) 408-7263

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Minuteclinic Primary Care South Carolina LLC

  • Family Nurse Practitioner
  • Simpsonville, SC
  • NPI 1548070071
  Medicare reassignment NPD
• Minuteclinic Video Virtual Care, PLLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1316402746

  SC

  Medicare reassignment NPD
• Minuteclinic Diagnostic South Carolina LLC

  • Family Nurse Practitioner
  • Simpsonville, SC
  • NPI 1447420815
  Medicare reassignment

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1992061840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 22ND AVE",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512381",
            "telephone_number": "843-408-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 N HIGHWAY 17",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643310",
            "telephone_number": "843-408-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABENE",
        "first_name": "SUSAN",
        "middle_name": "ADKINS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Springer, OTR/L
• Jacob Michael Sprouse, PHARM.D.
• Jennifer Spychalski
• St Lukes Family Practice
• Anne Elizabeth St. John, PT, DPT
• Sam Stafford III, MD
• Johnna Stahl, MS,SLP
• Ann J Stamper, RPH
• Crystal Jeniouse Stanley
• Tara Lynn Stanley, O.D.

• Family Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.