Susan Grosse-Macemon
Susan Grosse-Macemon is a Nurse Practitioner in W. St. Paul, Minnesota. Qualified in 1984, 42 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 42
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
153 Cesar Chavez StW. St. Paul, MN 55107-2226
Phone: (651) 222-1816
Fax: (651) 222-2226
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1451 (MN) |
|---|
Record details
| NPI number | 1922060169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 4, 2006 |
| Last updated in NPPES | May 23, 2019 |
| Mailing address | 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1984 (42 years in practice) |
| Group practice | Healtheast Medical Research Institute — 678 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |