SUSAN K RETZLAFF DEITRICK (PA-C) – Physician Assistant, NPI 1912907981
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for SUSAN K RETZLAFF DEITRICK (PA-C)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GRAND ISLAND, NE 688025436
Phone: (308) 384-9300
Fax: (484) 359-8909
Type: Mailing
418, North Webb Road, Grand Island, Hall County, Nebraska, 68803, United States
GRAND ISLAND, NE 688034045
Phone: (308) 382-1100
Fax: (308) 385-0796
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $2,397.
Total Amount is formed as General ($2,397) + Research ($0) + Ownership ($0) = $2,397.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,030).
Total Amount
$2,397
General + Research + Ownership
Payments
143
Total payment records
General Amount
$2,397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,030 |
| E.R. Squibb & Sons, L.L.C. | $254 |
| Novartis Pharmaceuticals Corporation | $103 |
| GENZYME CORPORATION | $93 |
| Janssen Biotech, Inc. | $86 |
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: 2005-09-10
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 |
|---|---|---|---|---|
| I20050910000056 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,577 | 330 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 820 | 664 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 545 | 475 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 395 | 346 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 215 | 204 | $0 |
Insurance plans in this area (ZIP 68802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| D E R M A T O L O G Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| P A T H O L O G Y | NE | |
| D E R M A T O L O G Y | NE |
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