SUSAN KAY CLAVETTE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770903114

SUSAN KAY CLAVETTE (PMHNP) is a healthcare provider. based in Shawnee, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 76322 (KS). The NPI Number for SUSAN KAY CLAVETTE (PMHNP) is 1770903114

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN KAY CLAVETTE (PMHNP)
NPI
1770903114
Phone
(913) 210-6005
Address
12616 W 62ND TER STE 119
Enumeration Date
24 April 2014
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132106005
Graduation Year
2013 (13 years ago)
PAC ID
9234443219
Group Practice PAC ID
5597097600
Professional Enrollment ID
I20150804005789
Address ID
KS662122249OV7171XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for SUSAN KAY CLAVETTE (PMHNP)

  • 12616 W 62ND TER STE 119

    SHAWNEE, KS 662161811

    Phone: (913) 210-6005

    Fax: (913) 210-6008

    Type: Mailing

  • 12616 W 62ND TER

    STE 116

    SHAWNEE, KS 662162044

    Phone: (913) 210-6005

    Type: Location

  • 7171 W 95TH ST STE 210

    OVERLAND PARK, KS 662122249

    Phone: (913) 210-6005

    Fax: (913) 210-6008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 236 Open Payments records for all available years, with a total value of $3,998.

Total Amount is formed as General ($3,998) + Research ($0) + Ownership ($0) = $3,998.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($663).

Total Amount

$3,998

General + Research + Ownership

Payments

236

Total payment records

General Amount

$3,998

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2015-08-04

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
I20150804005789INurse PractitionerKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5920$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 66216)

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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: 5597097600View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for SUSAN KAY CLAVETTE (PMHNP) in U.S. healthcare records?
The official identifier for SUSAN KAY CLAVETTE (PMHNP) is NPI 1770903114.
Active or inactive — what applies to SUSAN KAY CLAVETTE (PMHNP)?
You should see SUSAN KAY CLAVETTE (PMHNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for SUSAN KAY CLAVETTE (PMHNP)?
At a glance, SUSAN KAY CLAVETTE (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SUSAN KAY CLAVETTE (PMHNP) associated with Shawnee?
Public fields place SUSAN KAY CLAVETTE (PMHNP) around Shawnee, Kansas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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