DR. SUZANNE BARBARA BARTLETT HACKENMILLER (MD) – Obstetrics & Gynecology Physician, NPI 1740209436
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
359 OBSTETRICS/GYNECOLOGY in IA
Provider Addresses for DR. SUZANNE BARBARA BARTLETT HACKENMILLER (MD)
3421 W 9th St Ste G4500
Waterloo, IA 507025401
Phone: (319) 272-8200
Type: Location
8405 N PIMA CENTER PKWY STE 203
SCOTTSDALE, AZ 852584670
Phone: (480) 587-6930
Fax: (480) 882-5026
Type: Mailing
430, Ridge Road, Webster Corner, Lisbon, Androscoggin County, Maine, 04250, United States
WEBSTER CITY, IA 505950430
Phone: (515) 832-9400
Fax: (515) 832-9494
Type: Mailing
Van Diest Medical Center, 2350, Hospital Drive, Webster City, Hamilton County, Iowa, 50595, United States
WEBSTER CITY, IA 50595
Phone: (515) 832-9400
Fax: (515) 832-9494
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Exeltis, USA Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $15 |
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: 2023-02-24
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040922000522 | I | Obstetrics/Gynecology | IA | TBD |
| I20230224002446 | I | Obstetrics/Gynecology | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Gastroenterology, Internal Medicine | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IN | |
| Orthopedic Surgery | IA | |
| Family Practice | IA | |
| Family Practice | IA |
Reviews
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