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Active NPI 1407136054 Individual Practitioner Female Practitioner

Suzanne Trieglaff Mccoy , RNC, NNP, MS, NE-BC

Nurse Practitioner • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Suzanne Mccoy, RNC, NNP, MS, NE-BC is a registered healthcare professional specializing in Nurse Practitioner in Kenosha, WI. Practice services are available at 10400 75TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10400 75th St

Kenosha, WI 531427884

Telephone 2629485600
Associated Practice Facility / Clinic
🏢 Mea-Aea Kenosha Sc Facility NPI 1477546737

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
76 Specialists

Practicing in Kenosha, WI (4030 Statewide)

Telehealth Adoption Rate
9.2% 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 Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2752-033

(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.

Nurse Practitioner - Neonatal, Critical Care

NUCC Taxonomy Code: 363LN0005X

State License WI 2725

Definition to come...

Nurse Practitioner - Neonatal, Critical Care

NUCC Taxonomy Code: 363LN0005X

State License IL 041-228474

Definition to come...

Secondary Practice Locations

25 Winfield Rd

Winfield, IL 60190

Phone: 6309336083

25 Winfield Rd

Winfield, IL 60190

Phone: 6309336083

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Uzma Rezvi , MD

Anesthesiology

NPI 1003256850

Doctor of Medicine (M.D.)

Paula Osgood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043509268

Certified Registered Nurse Anesthetist

Dorothy Free

Nurse Anesthetist, Certified Registered

NPI 1053700682
Dana Madden

Physician Assistant

NPI 1073338596
Alison Ketterhagen , PA-C

Physician Assistant

NPI 1083036123

Physician Assistant (Certified)

NPI 1083660070

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #2725 in WI)

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2018

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

📍
Updated Business Mailing Address January 12, 2018

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

👤
Provider Name / Credentials Updated January 12, 2018

Recorded as SUZANNE MCCOY, RNC, NNP, MS, NE-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Nurse Practitioner (License #2752-033 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Nurse Practitioner (License #2725 in WI)

NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2011

Registered at 25 WINFIELD RD, WINFIELD, IL 60190 (Tel: 6309336083)

📍
Updated Business Mailing Address August 26, 2011

Registered at 518 KENILWORTH DR, SCHAUMBURG, IL 601931762 (Tel: 6307726179)

👤
Provider Name / Credentials Updated August 26, 2011

Recorded as SUZANNE MCCOY, RNC, NNP, MS, NE-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Nurse Practitioner (License #041-228474 in IL)

🟢
Initial NPI Registration & Enumeration August 26, 2011

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: 1407136054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2011
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

10400 75th St

Kenosha, WI 531427884

Phone: 2629485600

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.