SUSAN D STOLZ (NP) – Nurse Practitioner, NPI 1104821271
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for SUSAN D STOLZ (NP)
Premier Healthcare Same Day Appointment / Walk In Clinic, 550, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474033239
Phone: (812) 355-3299
Fax: (812) 355-3290
Type: Mailing
482, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474035000
Phone: (812) 355-3299
Fax: (812) 355-3290
Type: Location
1200 S ROGERS ST
BLOOMINGTON, IN 474034792
Phone: (812) 339-6434
Fax: (812) 331-0196
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $2,647.
Total Amount is formed as General ($2,647) + Research ($0) + Ownership ($0) = $2,647.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($484).
Total Amount
$2,647
General + Research + Ownership
Payments
125
Total payment records
General Amount
$2,647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $484 |
| ABBVIE INC. | $373 |
| Incyte Corporation | $261 |
| Regeneron Healthcare Solutions, Inc. | $225 |
| UCB, Inc. | $149 |
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: 2010-02-12
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 |
|---|---|---|---|---|
| I20100212000662 | I | Nurse Practitioner | IN | 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 | 537 | 441 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 277 | 105 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 253 | 230 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 229 | 198 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 196 | 171 | $0 |
Insurance plans in this area (ZIP 47403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | IN | |
| Dermatology, Pathology | IN | |
| D E R M A T O L O G Y | IN |
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