MS. SUSAN P BULLINGTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1811100795

MS. SUSAN P BULLINGTON (CRNA) is a healthcare provider. based in Belleville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 121920 (MO). The NPI Number for MS. SUSAN P BULLINGTON (CRNA) is 1811100795

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN P BULLINGTON (CRNA)
NPI
1811100795
Phone
(314) 991-0985
Address
28 N 64TH ST
Enumeration Date
8 May 2007
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6183325480
Graduation Year
2000 (26 years ago)
PAC ID
9638128986
Group Practice PAC ID
2567369473
Professional Enrollment ID
I20050526000972
Address ID
IL622072326CE5900XAVEX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,270 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MS. SUSAN P BULLINGTON (CRNA)

  • 28, North 64th Street, Notre Dame, Belleville, Saint Clair County, Illinois, 62223, United States

    BELLEVILLE, IL 622233808

    Phone: (314) 991-0985

    Fax: (908) 653-9305

    Type: Location

  • PO BOX 822344

    PHILADELPHIA, PA 191822344

    Phone: (314) 991-0985

    Fax: (908) 653-9305

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

  • 660 S EUCLID AVE

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

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: 2008-09-05

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050526000972ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20080905000572ICertified Registered Nurse Anesthetist (Crna)MOTBD

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 62223)

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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: 2567369473View full group profile
NameSpecialtyState
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

How do I look up MS. SUSAN P BULLINGTON (CRNA) by NPI?
Use NPI 1811100795 when you need to reference MS. SUSAN P BULLINGTON (CRNA) in forms, claims, or directories.
Does this profile mean MS. SUSAN P BULLINGTON (CRNA) is currently active?
Yes — MS. SUSAN P BULLINGTON (CRNA) appears active in the national provider directory.
What does MS. SUSAN P BULLINGTON (CRNA) treat or focus on?
Patients typically see MS. SUSAN P BULLINGTON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MS. SUSAN P BULLINGTON (CRNA) practice in Illinois?
You will see Belleville, Illinois on file for MS. SUSAN P BULLINGTON (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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