PELAGIE TARA SUFFRINS (CNP) – Women's Health Nurse Practitioner, NPI 1952469017

PELAGIE TARA SUFFRINS (CNP) is a healthcare provider. based in Rochester, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CP000487 (SD). The NPI Number for PELAGIE TARA SUFFRINS (CNP) is 1952469017

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
PELAGIE TARA SUFFRINS (CNP)
NPI
1952469017
Phone
(507) 288-3443
Address
210 9TH ST SE
Enumeration Date
4 December 2006
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072858485
Graduation Year
2005 (21 years ago)
PAC ID
8224030291
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20080103000640
Address ID
MN559044700RO1650XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:19State licenses:3Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for PELAGIE TARA SUFFRINS (CNP)

  • Olmsted Medical Center Southeast, 210, 9th Street Southeast, Rochester, Olmsted County, Minnesota, 55904, United States

    ROCHESTER, MN 559046756

    Phone: (507) 288-3443

    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: 2008-01-03

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
I20080103000640INurse 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.

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

Insurance plans in this area (ZIP 55904)

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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: 8527970060View full group profile
NameSpecialtyState
Emergency MedicineMN
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What NPI should I save for PELAGIE TARA SUFFRINS (CNP)?
Save NPI 1952469017 if you need a stable reference for PELAGIE TARA SUFFRINS (CNP).
Is PELAGIE TARA SUFFRINS (CNP)'s NPI currently valid?
The extract we use shows PELAGIE TARA SUFFRINS (CNP) as active.
Does PELAGIE TARA SUFFRINS (CNP) list a primary specialty?
If you are matching referrals, note Women's Health Nurse Practitioner for PELAGIE TARA SUFFRINS (CNP). Clinical services aligned with this taxonomy classification.
Where does public data place PELAGIE TARA SUFFRINS (CNP)?
The snapshot lists Rochester, Minnesota for PELAGIE TARA SUFFRINS (CNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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