MRS. SUSAN KATHERINE FRADY (FNP) – Nurse Practitioner, NPI 1083935001

MRS. SUSAN KATHERINE FRADY (FNP) is a healthcare provider. based in Canon city, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 10059 (CO). The NPI Number for MRS. SUSAN KATHERINE FRADY (FNP) is 1083935001

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN KATHERINE FRADY (FNP)
NPI
1083935001
Phone
(303) 981-6221
Address
1203 ELM AVE
Enumeration Date
14 June 2010
Last Update Date
29 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193710000
Graduation Year
2009 (17 years ago)
PAC ID
4486839107
Group Practice PAC ID
1456573427
Professional Enrollment ID
I20110422000370
Address ID
CO812128115CA113XXLNXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MRS. SUSAN KATHERINE FRADY (FNP)

  • 1203 ELM AVE

    CANON CITY, CO 812124829

    Phone: (303) 981-6221

    Type: Mailing

  • 715 S 9TH ST

    CANON CITY, CO 812124911

    Phone: (719) 269-8820

    Fax: (719) 204-0230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $954.

Total Amount is formed as General ($954) + Research ($0) + Ownership ($0) = $954.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($507).

Total Amount

$954

General + Research + Ownership

Payments

63

Total payment records

General Amount

$954

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

Top Companies

Largest payers in this snapshot

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: 2011-04-22

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
I20110422000370INurse PractitionerCOTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg32021$0
99214Established patient office or other outpatient visit, 30-39 minutes263147$0
99215Established patient office or other outpatient visit, 40-54 minutes263132$0
76942Ultrasonic guidance for needle placement7343$0
20552Injection of trigger points, 1-2 muscles3320$0
View full utilization report →

Insurance plans in this area (ZIP 81212)

Loading plans...

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: 1456573427View full group profile
NameSpecialtyState
-CO
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna), Nurse PractitionerCO
Physical Therapist In Private PracticeCO
Nurse PractitionerCO
-CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up MRS. SUSAN KATHERINE FRADY (FNP) by NPI?
Use NPI 1083935001 when you need to reference MRS. SUSAN KATHERINE FRADY (FNP) in forms, claims, or directories.
Is MRS. SUSAN KATHERINE FRADY (FNP) active in the national directory?
MRS. SUSAN KATHERINE FRADY (FNP)'s public NPI profile is in an active state.
What kind of provider is MRS. SUSAN KATHERINE FRADY (FNP)?
The page reflects Nurse Practitioner for MRS. SUSAN KATHERINE FRADY (FNP). Clinical services aligned with this taxonomy classification.
Does MRS. SUSAN KATHERINE FRADY (FNP) practice in Colorado?
You will see Canon City, Colorado on file for MRS. SUSAN KATHERINE FRADY (FNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MS. PATRICIA A LAWRENCE (MSN, FNP, PMHNP)

Psychiatric/Mental Health Nurse Practitioner
2915 PAW PRINTS DR
NPI: 1528047677
Glenmoor Road, Cañon City, Fremont County, Colorado, 81215, United States
NPI: 1306804976

MS. SHIRLEY ANN SAWYER (NP)

Nurse Practitioner
3245 E US HIGHWAY 50 UNIT E
NPI: 1295787208

MARSHA L. COBERLY (CFNP)

Nurse Practitioner
West New York Avenue, Cañon City, Fremont County, Colorado, 81212, United States
NPI: 1023044047

DAWN MICHELE ATKINSON (NP)

Gerontology Nurse Practitioner
1110 W Florida St
NPI: 1265588313

HAVENS FAMILY CLINIC

Family Medicine Physician
109 LATIGO LN
NPI: 1619011830

HAVENS FAMILY CLINIC

Medical Physician Assistant
109 LATIGO LN
NPI: 1982731535
815, South Palafox Street, Pensacola, Escambia County, Florida, 32502, United States
NPI: 1982844478

MRS. TRACY LYNN MARTIN (APRN)

Family Nurse Practitioner
1338 Phay Ave Bldg D
NPI: 1952660045