SUSAN ADAMS (RN, APN) – Nurse Practitioner, NPI 1922004332

SUSAN ADAMS (RN, APN) is a healthcare provider. based in Macomb, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, APN. They hold a License No. 209004534 (IL). The NPI Number for SUSAN ADAMS (RN, APN) is 1922004332

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN ADAMS (RN, APN)
NPI
1922004332
Phone
(309) 833-4101
Address
1600 E JACKSON ST
Enumeration Date
22 June 2005
Last Update Date
16 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096470201
Graduation Year
2002 (24 years ago)
PAC ID
0143244392
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20060116000187
Address ID
IL615202608CA180XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for SUSAN ADAMS (RN, APN)

  • Starbucks, 1600, East Jackson Street, Macomb, McDonough County, Illinois, 61455, United States

    MACOMB, IL 614552530

    Phone: (309) 833-4101

    Type: Location

  • PO BOX 1179

    MACOMB, IL 614555579

    Phone: (309) 833-4101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $2,041.

Total Amount is formed as General ($2,041) + Research ($0) + Ownership ($0) = $2,041.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($390).

Total Amount

$2,041

General + Research + Ownership

Payments

117

Total payment records

General Amount

$2,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2006-01-16

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
I20060116000187INurse 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 61455)

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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: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify SUSAN ADAMS (RN, APN) with an NPI only?
You can start verification with NPI 1922004332 for SUSAN ADAMS (RN, APN), then check state licensing separately.
Can I rely on SUSAN ADAMS (RN, APN) being an active provider?
As of the registry snapshot, SUSAN ADAMS (RN, APN) is marked active.
What healthcare role does SUSAN ADAMS (RN, APN) hold?
Scheduling teams often label SUSAN ADAMS (RN, APN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SUSAN ADAMS (RN, APN) serve?
SUSAN ADAMS (RN, APN)'s listing highlights Macomb, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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