SUSAN BOUNOUS (NP) – Family Nurse Practitioner, NPI 1053645713
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SUSAN BOUNOUS (NP)
308 N Main St
Granby, MO 648448357
Phone: (417) 553-7920
Fax: (877) 464-5922
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 730-6430
Fax: (417) 269-7567
Type: Mailing
2613 S MAIN ST STE D
JOPLIN, MO 648042678
Phone: (417) 553-7920
Fax: (877) 464-5922
Type: Location
3800, South National Avenue, Springfield, Greene County, Missouri, 65804-3705, United States
STE. 540
SPRINGFIELD, MO 658075209
Phone: (417) 236-2410
Fax: (417) 236-2425
Type: Mailing
307, West Benton Street, Monett, Barry County, Missouri, 65708, United States
MONETT, MO 657081665
Phone: (417) 236-2410
Fax: (417) 236-2425
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: 2009-11-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091125000141 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64844)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO |
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