SUSIE DANIELLE CLERGE MSN FNP-C APRN NPI 1639791643

NPI Information

  • NPI: 1639791643
  • Provider Name: SUSIE DANIELLE CLERGE, MSN, FNP-C, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 907 E LAMAR ALEXANDER PKWY
    MARYVILLE, TN
    ZIP 37804
  • Phone: (865) 983-7211

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NPI Details

Susie Danielle Clerge, MSN, FNP-C, APRN is a family nurse practitioner in Maryville, TN with 5 years of experience. Susie Danielle Clerge, MSN, FNP-C, APRN NPI is 1639791643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2020

The provider's business location address is:

907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37804-016
Phone: (865) 983-7211

The NPI 1639791643 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 custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/13/2020.

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
1363LF0000XNurse PractitionerFamily363LF000XTENNESSEEYes

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

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