SUSAN P NURSE LPN NPI 1003002601

Licensed Practical Nurse in Red Creek, NY

Individual Female Licensed Practical Nurse

About SUSAN NURSE

Susan Nurse is a provider established in Red Creek, New York and her medical specialization is licensed practical nurse. The NPI number of Susan Nurse is 1003002601 and was assigned on September 2007. The practitioner's primary taxonomy code is 164W00000X with license number 199450-1 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Susan Nurse is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003002601

Provider Name SUSAN P NURSE LPN
Provider Location Address13319 CHAPMAN CORNERS RD RED CREEK, NY 13143
Provider Mailing Address13319 CHAPMAN CORNERS RD RED CREEK, NY 13143
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-18-2007
Last Update Date09-18-2007

Primary Taxonomy

Taxonomy Code164W00000X
ClassificationLicensed Practical Nurse
TypeNursing Service Providers
License No.199450-1
License StateNY
Taxonomy DescriptionAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

SUSAN P NURSE LPN
13319 CHAPMAN CORNERS RD
RED CREEK, NY
ZIP 13143
Phone: (315) 879-1099

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Mailing Address

SUSAN P NURSE LPN
13319 CHAPMAN CORNERS RD
RED CREEK, NY
ZIP 13143
Phone: (315) 879-1099

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
02824073MEDICAID (05)NY

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.