MRS. SUSANA FAVILA (FNP) – Family Nurse Practitioner, NPI 1447679790
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SUSANA FAVILA (FNP)
667 Yucca St
Imperial, CA 922518925
Phone: (760) 554-8180
Type: Location
667 YUCCA ST.
IMPERIAL, CA 92251
Phone: (760) 554-8180
Type: Mailing
667 YUCCA ST
IMPERIAL, CA 922518925
Phone: (760) 554-8180
Type: Location
4225 EXECUTIVE SQ STE 450
LA JOLLA, CA 920378411
Phone: (858) 810-8000
Fax: (858) 268-1911
Type: Mailing
2205 ROSS AVE STE 101
EL CENTRO, CA 922433623
Phone: (760) 353-0404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $612.
Total Amount is formed as General ($612) + Research ($0) + Ownership ($0) = $612.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($134).
Total Amount
$612
General + Research + Ownership
Payments
9
Total payment records
General Amount
$612
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140909002847 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 148 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 96 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 36 | 32 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 16 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Emergency Medicine, Medical Toxicology | CA | |
| Family Practice | AR | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | MA | |
| - | CA | |
| - | CA | |
| Emergency Medicine | CA |
Reviews
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