SUSAN GONZALEZ (CNP) – Nurse Practitioner, NPI 1457506677
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for SUSAN GONZALEZ (CNP)
205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States
JACKSON, MI 492011753
Phone: (517) 788-4730
Fax: (517) 788-4701
Type: Mailing
4100 E 27TH ST
MINNEAPOLIS, MN 554061804
Phone: (612) 216-8640
Type: Mailing
2550 UNIVERSITY AVE W STE 229N
SAINT PAUL, MN 551141902
Phone: (651) 645-3115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Neuronetics, Inc. ($49).
Total Amount
$226
General + Research + Ownership
Payments
13
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $49 |
| Teva Pharmaceuticals USA, Inc. | $43 |
| Corium, LLC | $36 |
| Merck Sharp & Dohme LLC | $21 |
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2019-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191016000828 | I | Nurse Practitioner | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 35 | $0 |
Insurance plans in this area (ZIP 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MN | |
| Clinical Social Worker | MN | |
| Certified Clinical Nurse Specialist (Cns) | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Clinical Psychologist | MN | |
| Marriage And Family Therapist | MN | |
| Clinical Social Worker | MN |
Reviews
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