SUSAN LYNN HIESTAND (FNP) – Nurse Practitioner, NPI 1366071268

SUSAN LYNN HIESTAND (FNP) is a healthcare provider. based in Stevensville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704290955 (MI). The NPI Number for SUSAN LYNN HIESTAND (FNP) is 1366071268

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN LYNN HIESTAND (FNP)
NPI
1366071268
Phone
(269) 983-6501
Address
4368 CLEVELAND AVE
Enumeration Date
3 April 2020
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694297100
Graduation Year
2019 (7 years ago)
PAC ID
8628499639
Group Practice PAC ID
9537178116
Professional Enrollment ID
I20200529001845
Address ID
MI490853421SA4025XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SUSAN LYNN HIESTAND (FNP)

  • 4368 CLEVELAND AVE

    STEVENSVILLE, MI 491279595

    Phone: (269) 983-6501

    Fax: (269) 983-2237

    Type: Mailing

  • 4025 HEALTH PARK LN

    SAINT JOSEPH, MI 490853421

    Phone: (269) 429-7100

    Fax: (269) 429-1959

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2020-05-29

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
I20200529001845INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes354123$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes15351$0
99316Nursing facility discharge management, more than 30 minutes9285$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7246$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3223$0
View full utilization report →

Insurance plans in this area (ZIP 49127)

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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: 9537178116View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SUSAN LYNN HIESTAND (FNP)?
NPI 1366071268 is assigned to SUSAN LYNN HIESTAND (FNP) under the national enumeration system.
Is SUSAN LYNN HIESTAND (FNP) currently active in the NPI registry?
CMS-published data lists SUSAN LYNN HIESTAND (FNP) as an active registrant.
What kind of provider is SUSAN LYNN HIESTAND (FNP)?
The page reflects Nurse Practitioner for SUSAN LYNN HIESTAND (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN LYNN HIESTAND (FNP)?
The page summarizes Stevensville, Michigan for SUSAN LYNN HIESTAND (FNP); expand the address list for detail.
What if Stevensville, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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