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

Susan Sansom, CNP

Individual provider Nurse Practitioner · NPI 1538611397

Susan Sansom, CNP is a Nurse Practitioner in Meridian, Idaho. Qualified in 2016, 10 years ago. Practices with Onepeak Medical Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

360 E Montvue Dr Ste 100
Meridian, ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 855-2911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 54528 (ID)

Record details

NPI number1538611397
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016
Mailing address360 E Montvue Dr Ste 100, Meridian, ID 83642-6318

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Onepeak Medical Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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