SUSAN A MATTHEW CNP NPI 1356313811

NPI Information

NPI: 1356313811
Provider Name: SUSAN A MATTHEW, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
7236 JORDAN DRIVE SUITE 101
RAPID CITY, SD
ZIP 57701
Phone: (605) 341-5565
Get Directions

Susan A Matthew, CNP is a family nurse practitioner in Rapid City, SD. Susan A Matthew, CNP NPI is 1356313811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7236 JORDAN DRIVE SUITE 101
RAPID CITY, SD
ZIP 57701
Phone: (605) 341-5565
Fax: (605) 341-5595

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Destruction of 2-14 skin growths (HCPCS:17003)
Destruction of skin growth (HCPCS:17000)
Destruction of up to 14 skin growths (HCPCS:17110)
Tangential biopsy of single skin lesion (HCPCS:11102)
Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0284	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6824580	MEDICAID	SOUTH DAKOTA
2	9487	MEDICARE ID-TYPE UNSPECIFIED	WYOMING	WY MEDICARE NUMBER
3	311949	OTHER	WYOMING	WY BCBS NUMBER
4	0040887	OTHER	SOUTH DAKOTA	WELLMARK BCBS NUMBER
5	40887	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA	SD MEDICARE NUMBER
6	P81670	MEDICARE UPIN	SOUTH DAKOTA
7	P00110317	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA	RAILROAD MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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