Susie K Pruitt, APRN
Nurse Practitioner, Family in Lexington, KY. Individual provider (NPI-1).
NPI number1508155136
StatusActive
Last updated in NPPESMay 8, 2025
Details
- NPI
- 1508155136
- Entity type
- Individual (NPI-1)
- Name
- Susie K Pruitt
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2011
- Certification date
- May 8, 2025
- Last updated
- May 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3006841 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3006841 | KY |
Other names
- Susie K Copeland (Former Name)
Practice location
2040 Harrodsburg Rd Ste 200Lexington, KY 40503-1714
Phone 859-899-7993
Mailing address
5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182
Phone 502-253-4924 · Fax 502-489-5750
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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