KASEY C SUCKOW (APRN) – Family Nurse Practitioner, NPI 1275102568

KASEY C SUCKOW (APRN) is a healthcare provider. based in Lake crystal, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 8568 (MN). The NPI Number for KASEY C SUCKOW (APRN) is 1275102568

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KASEY C SUCKOW (APRN)
NPI
1275102568
Phone
(651) 380-6590
Address
PO BOX 904
Enumeration Date
21 June 2021
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076254031
Graduation Year
2021 (5 years ago)
PAC ID
5890193486
Group Practice PAC ID
4688585771
Professional Enrollment ID
I20211012003275
Address ID
MN560014752MA1025XSTXX300

Contacts

Secure Messaging
ktufto91608@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KASEY C SUCKOW (APRN)

  • PO BOX 904

    LAKE CRYSTAL, MN 560550904

    Phone: (651) 380-6590

    Type: Mailing

  • 1025 MARSH ST

    MANKATO, MN 560014752

    Phone: (507) 594-2653

    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 $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-12

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
I20211012003275INurse PractitionerMNTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7949$0
50435Replacement of kidney drainage tube using imaging guidance with review by radiologist5213$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2626$0
49424Injection of contrast through abdominal cavity tube for x-ray study2315$0
36589Removal of tunneled central venous tube2222$0
View full utilization report →

Insurance plans in this area (ZIP 56055)

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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: 4688585771View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Internal MedicineONTARIO
Nurse PractitionerMN
Family PracticeMN
Family PracticeAR

Reviews

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Frequently asked questions

What is KASEY C SUCKOW (APRN)'s NPI number?
KASEY C SUCKOW (APRN)'s NPI is 1275102568 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KASEY C SUCKOW (APRN)?
For scheduling context, KASEY C SUCKOW (APRN) is shown as active in the registry.
What area of care is associated with KASEY C SUCKOW (APRN)?
KASEY C SUCKOW (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KASEY C SUCKOW (APRN)?
Travel planning: use Lake Crystal, Minnesota as the reference point for KASEY C SUCKOW (APRN), then confirm.
When was this NPI issued?
Enumeration for KASEY C SUCKOW (APRN) is noted as June 21, 2021 where the registry provides it.

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