SUSAN MARIE HOISINGTON (PSY.D.) – Addiction (Substance Use Disorder) Psychologist, NPI 1104974674

SUSAN MARIE HOISINGTON (PSY.D.) is a healthcare provider. based in Center city, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. LP0881 (MN). The NPI Number for SUSAN MARIE HOISINGTON (PSY.D.) is 1104974674

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARIE HOISINGTON (PSY.D.)
NPI
1104974674
Phone
(651) 213-4197
Address
15245 Pleasant Valley Rd
Enumeration Date
8 January 2007
Last Update Date
7 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6127670300
Graduation Year
1998 (28 years ago)
PAC ID
2163555798
Group Practice PAC ID
4587108055
Professional Enrollment ID
I20101101000438
Address ID
MN554043382MI2217XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for SUSAN MARIE HOISINGTON (PSY.D.)

  • 15245 Pleasant Valley Rd

    Center City, MN 550129640

    Phone: (651) 213-4197

    Fax: (651) 213-4411

    Type: Location

  • Pleasant Valley Road, Penn Manor, Pleasant Valley, Penn Township, Westmoreland County, Pennsylvania, 15642, United States

    CENTER CITY, MN 550129640

    Phone: (651) 213-4197

    Fax: (651) 213-4411

    Type: Mailing

  • Park Avenue, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554043378

    Phone: (612) 872-2000

    Fax: (612) 871-1375

    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: 2010-11-01

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
I20101101000438IClinical PsychologistMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55012)

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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: 4587108055View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

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Frequently asked questions

Is there an official ID for SUSAN MARIE HOISINGTON (PSY.D.) in U.S. healthcare records?
The official identifier for SUSAN MARIE HOISINGTON (PSY.D.) is NPI 1104974674.
Is there an active status for SUSAN MARIE HOISINGTON (PSY.D.)?
For scheduling context, SUSAN MARIE HOISINGTON (PSY.D.) is shown as active in the registry.
What expertise is attributed to SUSAN MARIE HOISINGTON (PSY.D.)?
SUSAN MARIE HOISINGTON (PSY.D.)'s specialty line reads Addiction (Substance Use Disorder) Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN MARIE HOISINGTON (PSY.D.)?
Travel planning: use Center City, Minnesota as the reference point for SUSAN MARIE HOISINGTON (PSY.D.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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