NICHOLE SUZANNE SUCKOW (PA-C) – Physician Assistant, NPI 1902892318
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for NICHOLE SUZANNE SUCKOW (PA-C)
PO BOX 784
EFFINGHAM, IL 624010784
Phone: (217) 342-3337
Fax: (217) 342-3338
Type: Mailing
912, North Henrietta Street, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624011788
Phone: (217) 342-3337
Fax: (217) 342-3338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $682.
Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($157).
Total Amount
$682
General + Research + Ownership
Payments
31
Total payment records
General Amount
$682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $157 |
| Lilly USA, LLC | $102 |
| Astellas Pharma US Inc | $82 |
| ABBVIE INC. | $65 |
| PFIZER INC. | $62 |
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: 2004-02-05
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 |
|---|---|---|---|---|
| I20040205000078 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 22 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 13 | 13 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Physician Assistant | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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