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SUSAN MARIE DOEPKER NP
NPI 1093364259
Nurse Practitioner - Family in Mishawaka, IN

Active since September 10, 2019
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545(574) 335-6232(574) 335-0776 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Marie Doepker Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARIE DOEPKER NP (NPI 1093364259) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28099733A) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093364259
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN MARIE DOEPKERCredential: NP
Location Address611 E DOUGLAS RD STE 309Mishawaka, IN 46545-1467
Mailing Address707 Cedar St Ste 200South Bend, IN 46617-2057 · (574) 335-8717 · Fax (574) 335-0741
Phone(574) 335-6232
Fax(574) 335-0776
Sole ProprietorYes
Enumeration DateSeptember 10, 2019
✔ NPI 1093364259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28099733A
611 E DOUGLAS RD STE 309, Mishawaka, IN 46545
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Other Identifiers 1

MedicaidPENDINGIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD HAIDOUS MD
Internal Medicine (Infectious Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6770
DR. PAUL JOSEPH GUENTERT M.D.
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 246-9350
DONALD ROBERT WESTERHAUSEN III MD
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6900
CAN TALUG M.D.
Urology
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 948-5390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Doepker's NPI number?

The NPI number for Susan Doepker is 1093364259. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Susan Doepker located?

Susan Doepker practices at 611 E Douglas Rd Ste 309, Mishawaka, IN 46545. The listed phone number is (574) 335-6232.

What is Susan Doepker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Doepker was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.