SUSAN L DAVIS (FNP) – Nurse Practitioner, NPI 1730150590

SUSAN L DAVIS (FNP) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 166356 (MA). The NPI Number for SUSAN L DAVIS (FNP) is 1730150590

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN L DAVIS (FNP)
NPI
1730150590
Phone
(508) 368-3140
Address
20 WORCESTER CENTER BLVD
Enumeration Date
30 January 2006
Last Update Date
18 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952700
Graduation Year
1993 (33 years ago)
PAC ID
6204888373
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20050216000903
Address ID
MA016044647WO366XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for SUSAN L DAVIS (FNP)

  • 20 WORCESTER CENTER BLVD

    WORCESTER, MA 016081312

    Phone: (508) 368-3140

    Fax: (508) 368-3144

    Type: Location

  • 14, Manning Avenue, Leominster, Worcester County, Massachusetts, 01453, United States

    LEOMINSTER, MA 014535768

    Phone: (978) 847-0110

    Fax: (978) 665-5959

    Type: Mailing

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: 2005-02-16

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
I20050216000903INurse PractitionerMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5958$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

What unique ID ties claims to SUSAN L DAVIS (FNP)?
NPI 1730150590 is assigned to SUSAN L DAVIS (FNP) under the national enumeration system.
Is SUSAN L DAVIS (FNP)'s NPI currently valid?
The extract we use shows SUSAN L DAVIS (FNP) as active.
Can you summarize SUSAN L DAVIS (FNP)'s specialty in plain language?
Clinically, the directory lists SUSAN L DAVIS (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SUSAN L DAVIS (FNP)?
We surface Worcester, Massachusetts for SUSAN L DAVIS (FNP) based on available NPPES addresses.
Is SUSAN L DAVIS (FNP) a real provider?
This page reflects official NPPES data for NPI 1730150590. Always confirm identity and privileges with the practice and licensing boards.

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