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

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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