SUSAN PETERSON NPI 1134888118

NPI Information

  • NPI: 1134888118
  • Provider Name: SUSAN PETERSON
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18000 W 9 MILE RD STE 525
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 327-6196

Map and Directions

Get Directions

NPI Details

Susan Peterson is a primary care nurse practitioner in Southfield, MI. Susan Peterson NPI is 1134888118. 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:

18000 W 9 MILE RD STE 525
SOUTHFIELD, MI
ZIP 48075-080
Phone: (248) 327-6196

The NPI 1134888118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Exam of neurobehavioral status, first hour (HCPCS:96116)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)

The enumeration date for this NPI number is 12/16/2021 and was last updated on 4/30/2024.

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
1363LP2300XNurse PractitionerPrimary Care4704310011MICHIGANYes
2363LG0600XNurse PractitionerGerontology4704310011MICHIGANNo

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
14704310011OTHERMICHIGANNURSING LICENSE 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.