MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) – Family Nurse Practitioner, NPI 1285509075

MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) is a healthcare provider. based in Bloomington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 209033472 (IL). The NPI Number for MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) is 1285509075

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MISS SUSANNA FAITH FRUSTI (APRN, FNP-C)
NPI
1285509075
Phone
(224) 208-5889
Address
1314 KENNETH DR
Enumeration Date
9 October 2025
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3099252961
Graduation Year
2025 (1 year ago)
PAC ID
1658860952
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20251028001460
Address ID
IL615689572TR105XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MISS SUSANNA FAITH FRUSTI (APRN, FNP-C)

  • 1314 KENNETH DR

    BLOOMINGTON, IL 617042588

    Phone: (224) 208-5889

    Type: Mailing

  • 435 MAXINE DR

    MORTON, IL 615502498

    Phone: (309) 263-2424

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-28

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
I20251028001460INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61704)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

Can I verify MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) with an NPI only?
You can start verification with NPI 1285509075 for MISS SUSANNA FAITH FRUSTI (APRN, FNP-C), then check state licensing separately.
Is MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) still practicing?
MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) is currently listed as active in the public NPI registry.
What is MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) best known for clinically?
Directory data describes MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) based?
MISS SUSANNA FAITH FRUSTI (APRN, FNP-C) is tied to Bloomington, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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