SUSANNE ALICE MARIE ROMAN – Family Nurse Practitioner, NPI 1578211835

SUSANNE ALICE MARIE ROMAN is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-156884 (AL). The NPI Number for SUSANNE ALICE MARIE ROMAN is 1578211835

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE ALICE MARIE ROMAN
NPI
1578211835
Phone
(334) 655-0037
Address
903 WOODLEIGH RD
Enumeration Date
16 March 2022
Last Update Date
16 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347939564
Graduation Year
2022 (4 years ago)
PAC ID
1557758372
Group Practice PAC ID
1153361225
Professional Enrollment ID
I20220426002436
Address ID
AL362051306DO4300XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SUSANNE ALICE MARIE ROMAN

  • 903 WOODLEIGH RD

    DOTHAN, AL 363056341

    Phone: (334) 655-0037

    Type: Mailing

  • 4300 W MAIN ST STE 102

    DOTHAN, AL 363051306

    Phone: (334) 793-9564

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,645.

Total Amount is formed as General ($1,645) + Research ($0) + Ownership ($0) = $1,645.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($284).

Total Amount

$1,645

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,645

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220426002436INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes211172$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report131123$0
99213Established patient office or other outpatient visit, 20-29 minutes7371$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 36305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153361225View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerAL
Interventional CardiologyAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Nurse PractitionerAL
Interventional CardiologyAL
Interventional CardiologyAL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What NPI should I save for SUSANNE ALICE MARIE ROMAN?
Save NPI 1578211835 if you need a stable reference for SUSANNE ALICE MARIE ROMAN.
Is SUSANNE ALICE MARIE ROMAN currently active in the NPI registry?
CMS-published data lists SUSANNE ALICE MARIE ROMAN as an active registrant.
What kind of provider is SUSANNE ALICE MARIE ROMAN?
The page reflects Family Nurse Practitioner for SUSANNE ALICE MARIE ROMAN. Clinical services aligned with this taxonomy classification.
Where is SUSANNE ALICE MARIE ROMAN's primary listing?
We display Dothan, Alabama because that is what the record indicates for SUSANNE ALICE MARIE ROMAN.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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