SUSAN TRACY WOLGAMOTT (DNP) – Family Nurse Practitioner, NPI 1760894638
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for SUSAN TRACY WOLGAMOTT (DNP)
30795 23 MILE RD
SUITE 206
CHESTERFIELD, MI 480475720
Phone: (586) 598-5731
Type: Mailing
10 W SQUARE LAKE RD STE 200
BLOOMFIELD TOWNSHIP, MI 483020467
Phone: (248) 221-1845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 533 Open Payments records for all available years, with a total value of $199,038.
Total Amount is formed as General ($199,038) + Research ($0) + Ownership ($0) = $199,038.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Evoke Pharma, Inc. ($45,657).
Total Amount
$199,038
General + Research + Ownership
Payments
533
Total payment records
General Amount
$199,038
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evoke Pharma, Inc. | $45,657 |
| Janssen Biotech, Inc. | $37,098 |
| ABBVIE INC. | $35,932 |
| EVOKE PHARMA, INC. | $24,097 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $18,375 |
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: 2014-09-02
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 |
|---|---|---|---|---|
| I20140902001581 | I | Nurse Practitioner | MI | 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 48047)
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