| Susan R Wilson, NP | |
|
463 E Circle Dr, East Lansing, MI 48824-7500 | |
| (517) 884-6546 | |
| (517) 432-9460 |
| Full Name | Susan R Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 463 E Circle Dr, East Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801119532 | NPI | - | NPPES |
| 1801119532 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704149259 (Michigan) | Primary |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031218000492 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan R Wilson, NP 804 Service Rd, A201, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Susan R Wilson, NP 463 E Circle Dr, East Lansing, MI 48824-7500 Ph: (517) 884-6546 |
Paul Folk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424 | |
Mr. Benjamin Owen Marshall, MSN, FNP-BC, CPHQ Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Coolidge Rd, East Lansing, MI 48823 Phone: 517-940-7615 | |
Kelsey Garred, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823 Phone: 517-339-1676 Fax: 517-339-2716 | |
Ms. April Paulette Morris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Service Rd, A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713 | |
Sara Nielsen Dravland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A225, East Lansing, MI 48824 Phone: 517-353-2562 Fax: 517-353-2563 | |
Kara E Schrader, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Service Road, Room A142, East Lansing, MI 48824 Phone: 517-353-3050 Fax: 517-432-3742 | |
Kelly Elizabeth Reid, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-332-5342 Fax: 517-316-2893 |