Active NPI 1265533764 Individual Practitioner Female Practitioner

Susan Ellen Beck , CPNP

Nurse Practitioner - Pediatrics • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Susan Beck, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Jackson, MI. Practice services are available at 1310 GREENWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1310 Greenwood Ave

Jackson, MI 492033077

Telephone 5179620123

Fax 5172018067

Associated Practice Facility / Clinic

🏢 Ali Orandi M.d., Plc Facility NPI 1376681379

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Jackson, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Jackson, MI (538 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

CMS Verified: 2025-07-01

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704219112

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Php

83 20030 (MI)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Tara Ziecina , FNP-C

Nurse Practitioner - Family

NPI 1174098198

Family Nurse Practitioner (Certified)

Jennifer Urabe , FNP

Nurse Practitioner - Family

NPI 1639545932

Family Nurse Practitioner

Dr. Lenae Vanwagnen , MD

Pediatrics

NPI 1689626400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 01, 2025

Registered at 1310 GREENWOOD AVE, JACKSON, MI 492033077 (Tel: 5179620123)

📍

Updated Business Mailing Address July 01, 2025

Registered at 1310 GREENWOOD AVE, JACKSON, MI 492033077 (Tel: 5179620123)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2100 4TH ST, JACKSON, MI 492034518 (Tel: 5177874330)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2100 4TH ST, JACKSON, MI 492034518 (Tel: 5177874330)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN BECK, C.P.N.P.

🎓

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

Nurse Practitioner (License #4704219112 in MI)

🟢

Initial NPI Registration & Enumeration September 26, 2006

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: 1265533764

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: July 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1310 Greenwood Ave

Jackson, MI 492033077

Phone: 5179620123

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.