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

Susette R Roark, APRN

Individual provider Nurse Practitioner · NPI 1902343957

Susette R Roark, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2016, 10 years ago. Practices with Hospitalist Physicians of Massachusetts PC, a 85-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3900 Kresge Way Ste 46
Louisville, KY 40207-4660
Phone: (502) 899-3858
Fax: (502) 899-3878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 71006841A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71006841A (IN)

Record details

NPI number1902343957
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 16, 2023

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 Hospitalist Physicians Of Massachusetts Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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