Physician Compare National (NPI:1841244894)

HEALTHCARE PROVIDER: SUSAN L KREHBIEL ARNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841244894
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052435765
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100902000207
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KREHBIEL
	Individual professional last name
Provider First Name	SUSAN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEWTON HEALTHCARE CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5294646477
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	60
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	600 MEDICAL CTR DR
	Group Practice or individual's line 1 address
City	NEWTON
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	671148780
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170103
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEWTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y