MARISUE SUSMAN NP
NPI 1205124377
Nurse Practitioner - Pediatrics in Meridian, ID

Active since July 11, 2011
1620 S CELEBRATION AVE, MERIDIAN, ID 83642(208) 884-1030(208) 884-3058 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisue Susman Np NPPES

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

MARISUE SUSMAN NP (NPI 1205124377) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (NP-1488A) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1205124377
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARISUE SUSMANCredential: NP
Location Address1620 S CELEBRATION AVEMeridian, ID 83642-2779
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Fax(208) 884-3058
Sole ProprietorNo
Enumeration DateJuly 11, 2011
Last NPPES UpdateOctober 27, 2015
NPI 1205124377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in ID · NP-1488A
1620 S CELEBRATION AVE, Meridian, ID 83642

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642
Pediatrics
1620 S CELEBRATION AVE
MERIDIAN, ID 83642

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 Marisue Susman's NPI number?

The NPI number for Marisue Susman is 1205124377. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Marisue Susman located?

Marisue Susman practices at 1620 S Celebration Ave, Meridian, ID 83642. The listed phone number is (208) 884-1030.

What is Marisue Susman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Marisue Susman accept?

Health plans from Providence Health Plan list Marisue Susman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisue Susman was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.