MRS. SUSAN JO PONDER (RN, CNS/RXN) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1336496330
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2026-04-20. Reason: License revocation, suspension, or surrender.
Adult Psychiatric/Mental Health Clinical Nurse Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SUSAN JO PONDER (RN, CNS/RXN)
8931 Huron St
Thornton, CO 802606806
Phone: (970) 590-1138
Fax: (970) 356-7437
Type: Location
1919 65TH AVENUE, SUITE 3
INTEGRATION MENTAL HEALTH
GREELEY, CO 80634
Phone: (970) 590-1138
Fax: (970) 356-7437
Type: Mailing
1919 65TH AVE STE 3
GREELEY, CO 806347965
Phone: (970) 590-1138
Fax: (970) 356-7437
Type: Location
8931 HURON ST
COMMUNITY REACH CENTER
THORNTON, CO 802606806
Phone: (970) 590-1138
Fax: (970) 356-7437
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($133).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $133 |
| E.R. Squibb & Sons, L.L.C. | $27 |
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: 2012-09-05
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 |
|---|---|---|---|---|
| I20120905000441 | I | Certified Clinical Nurse Specialist (Cns) | CO | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 110 | 24 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 71 | 17 | $0 |
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | 43 | 13 | $0 |
Insurance plans in this area (ZIP 80260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | CO | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 75 | 22 |
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