Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan L Mastenbrook, NP

Individual provider Family Nurse Practitioner · NPI 1205194248

Susan L Mastenbrook, NP is a Nurse Practitioner in Kalamazoo, Michigan. Qualified in 2012, 14 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone: (269) 226-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 117 W Paterson St, Kalamazoo, MI 49007-2581 — (269) 349-2641

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704207644 (MI)

Record details

NPI number1205194248
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 27, 2012
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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