SUSAN EILEEN BAILEY (CNP) – Nurse Practitioner, NPI 1124540455
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 EILEEN BAILEY (CNP)
6279, East State Boulevard, Fort Wayne, Allen County, Indiana, 46815, United States
FORT WAYNE, IN 468157641
Phone: (260) 471-5521
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
Phone: (260) 672-6620
Fax: (260) 672-6639
Type: Location
3005 E STATE BLVD
FORT WAYNE, IN 468054736
Phone: (260) 267-9498
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $671.
Total Amount is formed as General ($671) + Research ($0) + Ownership ($0) = $671.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($153).
Total Amount
$671
General + Research + Ownership
Payments
7
Total payment records
General Amount
$671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-11-30
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 |
|---|---|---|---|---|
| I20171130001527 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 18 | 15 | $0 |
Insurance plans in this area (ZIP 46815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IN |
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