SUSAN W ETTINGER (MSN,NPC) – Nurse Practitioner, NPI 1144325275
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
Provider Addresses for SUSAN W ETTINGER (MSN,NPC)
26 Julio Dr
Shrewsbury, MA 015453020
Phone: (508) 333-4184
Type: Location
Franklin Square Drive, Nottingham, White Marsh, Baltimore County, Maryland, 21236, United States
BALTIMORE, MD 212364902
Phone: (410) 933-5412
Type: Mailing
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 212202004
Phone: (410) 933-5412
Type: Mailing
West Joppa Road, Kenilworth at Charles, Towson, Baltimore County, Maryland, 21204, United States
LUTHERVILLE TIMONIUM, MD 210934624
Phone: (410) 847-3535
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-11-11
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 |
|---|---|---|---|---|
| I20141111001896 | I | Nurse Practitioner | MD | 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 01545)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Hospitalist, Internal Medicine | VA | |
| Infectious Disease | PA | |
| - | MD | |
| - | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| - | VA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MD |
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