SUZY NUETZMAN – Mental Health Counselor, NPI 1184179871

SUZY NUETZMAN is a healthcare provider. based in Anoka, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. The NPI Number for SUZY NUETZMAN is 1184179871

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SUZY NUETZMAN
NPI
1184179871
Phone
Not provided
Address
1833 3RD AVE
Enumeration Date
23 August 2016
Last Update Date
23 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513306205
Graduation Year
2016 (10 years ago)
PAC ID
5799135992
Group Practice PAC ID
4688002579
Professional Enrollment ID
I20240101000154
Address ID
MN551133185RO2589XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for SUZY NUETZMAN

  • 1833, 3rd Avenue, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553032424

    Phone:

    Mailing address matches the actual address.

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: 2024-01-01

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
I20240101000154IMarriage And Family TherapistMNTBD

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 55303)

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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: 4688002579View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorWI
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What federal number belongs to SUZY NUETZMAN?
The federal identifier for SUZY NUETZMAN is NPI 1184179871.
Is SUZY NUETZMAN active in the national directory?
SUZY NUETZMAN's public NPI profile is in an active state.
What kind of provider is SUZY NUETZMAN?
The page reflects Mental Health Counselor for SUZY NUETZMAN. Clinical services aligned with this taxonomy classification.
What location shows for SUZY NUETZMAN?
We surface Anoka, Minnesota for SUZY NUETZMAN based on available NPPES addresses.
Is SUZY NUETZMAN a real provider?
This page reflects official NPPES data for NPI 1184179871. Always confirm identity and privileges with the practice and licensing boards.

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