SUSAN MICHELLE BLIZZARD – Family Nurse Practitioner, NPI 1114438124

SUSAN MICHELLE BLIZZARD is a healthcare provider. based in Live oak, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP9217611 (FL). The NPI Number for SUSAN MICHELLE BLIZZARD is 1114438124

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MICHELLE BLIZZARD
NPI
1114438124
Phone
(386) 364-1751
Address
211 RANCHERA ST NW
Enumeration Date
17 October 2017
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077430050
Graduation Year
2017 (9 years ago)
PAC ID
4880951581
Group Practice PAC ID
5890964746
Professional Enrollment ID
I20210311000686
Address ID
AK995036649AN510XXRDXX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SUSAN MICHELLE BLIZZARD

  • 211 RANCHERA ST NW

    LIVE OAK, FL 320644866

    Phone: (386) 364-1751

    Fax: (386) 364-1761

    Type: Location

  • PO BOX 26029

    TAMPA, FL 336236029

    Phone:

    Type: Mailing

  • 510 W TUDOR RD

    STE 5

    ANCHORAGE, AK 995036649

    Phone: (907) 235-7000

    Fax: (907) 235-4050

    Type: Mailing

  • 510 W TUDOR RD STE 5

    ANCHORAGE, AK 995036649

    Phone: (907) 235-7000

    Fax: (907) 235-4050

    Type: Mailing

  • 323 W DANVIEW AVE STE 201

    HOMER, AK 996037028

    Phone: (907) 235-7000

    Fax: (907) 235-4050

    Type: Location

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 $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2023-12-17 • Largest payer in this snapshot: ABBVIE INC. ($66).

Total Amount

$98

General + Research + Ownership

Payments

2

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-17

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: 2021-03-11

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
I20210311000686INurse PractitionerAKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes235122$0
99212Established patient office or other outpatient visit, 10-19 minutes225127$0
36415Insertion of needle into vein for collection of blood sample8869$0
99214Established patient office or other outpatient visit, 30-39 minutes5546$0
96372Injection of drug or substance under skin or into muscle4316$0
View full utilization report →

Insurance plans in this area (ZIP 32064)

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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: 5890964746View full group profile
NameSpecialtyState
Physician AssistantAK
Physician AssistantAK
Physician AssistantAK
Physician AssistantAK
-AK
Nurse PractitionerAK
-AK
Nurse PractitionerAK
Physician AssistantAK
Family Practice, Sleep MedicineAK

Reviews

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Frequently asked questions

What NPI should I save for SUSAN MICHELLE BLIZZARD?
Save NPI 1114438124 if you need a stable reference for SUSAN MICHELLE BLIZZARD.
Is SUSAN MICHELLE BLIZZARD's NPI currently valid?
The extract we use shows SUSAN MICHELLE BLIZZARD as active.
Does SUSAN MICHELLE BLIZZARD list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SUSAN MICHELLE BLIZZARD. Clinical services aligned with this taxonomy classification.
Where is SUSAN MICHELLE BLIZZARD's primary listing?
We display Live Oak, Florida because that is what the record indicates for SUSAN MICHELLE BLIZZARD.
Is SUSAN MICHELLE BLIZZARD a real provider?
This page reflects official NPPES data for NPI 1114438124. Always confirm identity and privileges with the practice and licensing boards.

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