SUSAN K MOZAFFARI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669443305
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for SUSAN K MOZAFFARI (CRNA)
1005 Broadway St
Quincy, IL 623012834
Phone: (217) 223-8400
Type: Location
14825 N OUTER 40 RD STE 100
CHESTERFIELD, MO 630172152
Phone:
Type: Mailing
1820, Mozaffari Lane, Alandale, Godfrey, Madison County, Illinois, 62035, United States
GODFREY, IL 620351513
Phone: (618) 466-5500
Fax: (618) 467-7004
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($47).
Total Amount
$83
General + Research + Ownership
Payments
5
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cumberland Pharmaceuticals, Inc. | $47 |
| Merck Sharp & Dohme LLC | $36 |
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: 2004-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031124000193 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20040326001288 | I | Certified Registered Nurse Anesthetist (Crna) | IL | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 49 | 43 | $0 |
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | MI | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| A N E S T H E S I O L O G Y | TN |
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