MS. SUSAN OUELLETTE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720164320
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MS. SUSAN OUELLETTE (APRN)
4050 Coon Rapids Blvd NW
Coon Rapids, MN 554332522
Phone: (612) 262-1220
Type: Location
1700 Medical Center Pkwy
Murfreesboro, TN 371292245
Phone: (615) 396-4100
Type: Location
2124, Ramona Lane, Baltimore County, Maryland, 21163, United States
WOODSTOCK, MD 211631248
Phone: (410) 236-9951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Becton, Dickinson and Company ($127).
Total Amount
$180
General + Research + Ownership
Payments
3
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $127 |
| ITI, Inc. | $29 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $23 |
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: 2024-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20051102000358 | I | Nurse Practitioner | MD | TBD |
| I20081209000740 | I | Nurse Practitioner | CT | TBD |
| I20130501000216 | I | Nurse Practitioner | DC | TBD |
| I20210420000727 | I | Nurse Practitioner | MA | TBD |
| I20220825003219 | I | Nurse Practitioner | WA | TBD |
| I20240603000929 | I | Nurse Practitioner | TN | 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 | 148 | 44 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 12 | $0 |
Insurance plans in this area (ZIP 55433)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MD | 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD |
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