JANE MARIE SUSKA APRN CNP NPI 1013908383

NPI Information

NPI: 1013908383
Provider Name: JANE MARIE SUSKA, APRN CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1900 CENTRACARE CIRCLE #2300
CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMENS HE
ST CLOUD, MN
ZIP 56303
Phone: (320) 654-3630
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Jane Marie Suska, APRN CNP is a women's health nurse practitioner in St Cloud, MN. Jane Marie Suska, APRN CNP NPI is 1013908383. 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:

1900 CENTRACARE CIRCLE #2300
CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMENS HE
ST CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3630
Fax: (320) 654-3657

The NPI 1013908383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/4/2015.

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	363LW0102X	Nurse Practitioner	Women's Health	R1172555	MINNESOTA	No
2	363LW0102X	Nurse Practitioner	Women's Health	CNP0965	MINNESOTA	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 Issuer
1	1531298	OTHER	ARAZ GROUP AMERICAS PPO
2	1029789	OTHER	PREFERRED ONE
3	0702328	OTHER	MEDICA HEALTH PLANS
4	COMP	OTHER	ONE HEALTH PLAN GREAT WES
5	500001933	MEDICARE ID-TYPE UNSPECIFIED
6	55G91SU	OTHER	BLUE CROSS BLUE SHIELD
7	HP34917	OTHER	HEALTH PARTNERS
8	COMP	OTHER	CHAMPUS
9	P49964	MEDICARE UPIN
10	141210	OTHER	U CARE
11	COMP	OTHER	FIRST HEALTH PLAN
12	COMP	OTHER	MMSI

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: 5/5/2024

NPI Synchronization or Removal

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