SUSAN C IANNICCA (CNP, RD) – Nurse Practitioner, NPI 1366502304
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUSAN C IANNICCA (CNP, RD)
5655, Hudson Drive, Hudson, Summit County, Ohio, 44236, United States
STE 110
HUDSON, OH 442364454
Phone: (330) 650-5110
Fax: (330) 650-5115
Type: Mailing
231 SEASONS RD
SUITE 200
HUDSON, OH 44224
Phone: (330) 650-5110
Fax: (330) 650-5115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $2,112.
Total Amount is formed as General ($2,112) + Research ($0) + Ownership ($0) = $2,112.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Medtronic, Inc. ($1,756).
Total Amount
$2,112
General + Research + Ownership
Payments
33
Total payment records
General Amount
$2,112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,756 |
| Dexcom, Inc. | $169 |
| Novo Nordisk Inc | $77 |
| Lilly USA, LLC | $52 |
| Abbott Laboratories | $22 |
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: 2006-03-20
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 |
|---|---|---|---|---|
| I20060320000085 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 69 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 66 | 40 | $0 |
| 83036 | Hemoglobin a1c level | 43 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 19 | $0 |
Insurance plans in this area (ZIP 44236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| General Surgery | OH | |
| Internal Medicine, Gastroenterology | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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