Individual provider Active NPI

Susan K Zawodniak, CFNP

  • Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1992773089
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201880 Issued in NC
Practice address
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone
(252) 672-7738
Fax
(252) 635-6951
NPI assigned
Mar 14, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201880 NC Primary

Addresses

Primary practice location

2000 Neuse Blvd
New Bern, NC 28560-3449

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 672-7738

Other identifiers 1

IdentifierTypeStateIssuer
8989898MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040903001141 NC Practitioner - Nurse Practitioner 7517931959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201880NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians CurrentSince Oct 1, 2013 Accepting new patients
Carolinaeast Physicians CurrentSince Oct 1, 2013 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner Past Accepting new patients
St. Mary's Himg, LLC Past Accepting new patients
Ashe Internal Medicine PA Past Accepting new patients
Ultimate Health Services Inc Nurse Practitioner Past Accepting new patients
Carolinaeast Physicians Past Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

1001 Newman Rd
New Bern, NC 28562
Phone (252) 635-6777

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: szawodniak19517@carolinaeastmc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1992773089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-672-7738",
            "fax_number": "252-635-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-672-7738",
            "fax_number": "252-635-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWODNIAK",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.