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Active NPI 1629191648 Individual Practitioner Female Practitioner

Susan Mary Killam , RN, MSN, NP

Nurse Practitioner • Charlevoix, MI

Professional Overview & Biography Verified Profile Summary

Susan Killam, RN, MSN, NP is a registered healthcare professional specializing in Nurse Practitioner in Charlevoix, MI. Practice services are available at NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Northwest Michigan Community Health Agency
220 W. Garfield Street

Charlevoix, MI 49720

Telephone 2315476523
Fax 2315476238
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Charlevoix, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Charlevoix, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704087772

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsm
SK087772 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
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Doctor of Dental Medicine

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Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY, 220 W. GARFIELD STREET, CHARLEVOIX, MI 49720 (Tel: 2315476523)

📍
Updated Business Mailing Address July 08, 2007

Registered at 107 WOOD ST, CHARLEVOIX, MI 497201626 (Tel: 2315475871)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN KILLAM, RN,MSN,NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704087772 in MI)

🟢
Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629191648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

107 Wood St

Charlevoix, MI 497201626

Phone: 2315475871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.