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Deactivated NPI 1720286172 Deactivated / Inactive NPI Female Practitioner

Susan Stern , NNP, FNP

Nurse Practitioner - Family • Orem, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Stern has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2007
NPI Deactivation Date May 15, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Susan Stern, NNP, FNP was a registered Nurse Practitioner - Family practicing in Orem, UT. Throughout an active medical career spanning 12 years, Susan Stern provided care at the practice location at 730 W 800 N until profile deactivation on 2019-05-15.

Practice Location & Contact Primary Location

Practice Address

730 W 800 N
Suite 340-B

Orem, UT 840576300

Telephone 8016555425
Fax 8016555426
Associated Practice Facility / Clinic
🏢 Wasatch Neonatal Lc Facility NPI 1770513095

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Orem, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 7.2 Yrs
Regional Practice Density
58 Specialists

Practicing in Orem, UT (2184 Statewide)

Telehealth Adoption Rate
5.2% 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 - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License UT 200715-8900

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dolla Allison , CNS, NNP

Nurse Practitioner - Neonatal, Critical Care

NPI 1609050608

Clinical Nurse Specialist, NNP

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2019

Record deactivated on May 15, 2019

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 08, 2016

Registered at 730 W 800 N, SUITE 340-B, OREM, UT 840576300 (Tel: 8016555425)

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Updated Business Mailing Address November 08, 2016

Registered at 1572 E VILLAGE 3 RD, SALT LAKE CITY, UT 841211877 (Tel: 8014505746)

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Provider Name / Credentials Updated November 08, 2016

Recorded as SUSAN STERN, NNP, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Nurse Practitioner (License #200715-8900 in UT)

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Initial NPI Registration & Enumeration July 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: 1720286172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: November 08, 2016
Deactivation Date: May 15, 2019

Mailing Address

1572 E Village 3 Rd

Salt Lake City, UT 841211877

Phone: 8014505746

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.