| Susan Sansom, CNP | |
|
360 E Montvue Dr Ste 100, Meridian, ID 83642-6318 | |
| (208) 855-2900 | |
| (208) 855-2911 |
| Full Name | Susan Sansom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 360 E Montvue Dr Ste 100, Meridian, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538611397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 54528 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Onepeak Medical Care Llc | 1052853264 | 2 |
| Entity Name | Advanced Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598822231 PECOS PAC ID: 2264494798 Enrollment ID: O20041027001226 |
| Entity Name | Gary Gregerson Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255762506 PECOS PAC ID: 3173838141 Enrollment ID: O20150819009414 |
| Entity Name | Exodus Pain Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366849572 PECOS PAC ID: 4789979717 Enrollment ID: O20160830000218 |
| Entity Name | Truhealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20220207001428 |
| Entity Name | Onepeak Medical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811750458 PECOS PAC ID: 1052853264 Enrollment ID: O20240603004162 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Sansom, CNP 360 E Montvue Dr Ste 100, Meridian, ID 83642-6318 Ph: (208) 855-2900 | Susan Sansom, CNP 360 E Montvue Dr Ste 100, Meridian, ID 83642-6318 Ph: (208) 855-2900 |
Jennifer Lytle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1526 W Ustick Rd Ste 110, Meridian, ID 83646 Phone: 208-370-5888 | |
Rachael Marie Knuteson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1948 S Eagle Rd, Meridian, ID 83642 Phone: 208-322-7900 | |
Heidi Ann Fanslow, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6830 N Agrarian Ave, Meridian, ID 83646 Phone: 253-951-8331 | |
Josef Mcguire, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3080 E Gentry Way Ste 210, Meridian, ID 83642 Phone: 208-384-9022 | |
Melanie Maltese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 S Baltic Pl, Meridian, ID 83642 Phone: 208-887-4872 | |
Michael Pahang, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-288-4279 | |
Sarah Cheree Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3653 N Locust Grove Rd, Meridian, ID 83646 Phone: 208-302-7300 Fax: 208-302-7355 |