SUSAN SUGLIA (FNP-C) – Family Nurse Practitioner, NPI 1164167763
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,274 NURSE PRACTITIONER in DE
Provider Addresses for SUSAN SUGLIA (FNP-C)
57 S CUMMINGS DR
MIDDLETOWN, DE 197091663
Phone:
Type: Mailing
203 N LIME ST
LANCASTER, PA 176022729
Phone: (717) 392-6267
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $2,057.
Total Amount is formed as General ($2,057) + Research ($0) + Ownership ($0) = $2,057.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($557).
Total Amount
$2,057
General + Research + Ownership
Payments
85
Total payment records
General Amount
$2,057
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2022-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221026000632 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,967 | 334 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 574 | 425 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 551 | 409 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 424 | 306 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 337 | 282 | $0 |
Insurance plans in this area (ZIP 19709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | WA | |
| - | PA | |
| Physician Assistant | PA | |
| P A T H O L O G Y | PA | |
| - | PA | |
| Physician Assistant | IL |
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