SUSAN E. BUSH CORDREY (NP) – Family Nurse Practitioner, NPI 1811220635

SUSAN E. BUSH CORDREY (NP) is a healthcare provider. based in Lebanon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA.10961-NP (OH). The NPI Number for SUSAN E. BUSH CORDREY (NP) is 1811220635

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN E. BUSH CORDREY (NP)
NPI
1811220635
Phone
(513) 282-3011
Address
1425 COLUMBUS AVE
Enumeration Date
11 September 2009
Last Update Date
28 June 2016

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9377794447
Graduation Year
2009 (17 years ago)
PAC ID
5395886360
Group Practice PAC ID
8224301551
Professional Enrollment ID
I20100113000225
Address ID
OH454597004DA5818XPIKE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for SUSAN E. BUSH CORDREY (NP)

  • 1425, Columbus Avenue, Lebanon, Warren County, Ohio, 45036, United States

    LEBANON, OH 450368258

    Phone: (513) 282-3011

    Fax: (513) 282-3011

    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: 2010-01-13

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
I20100113000225INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes485120$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6521$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5125$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4520$0
99316Nursing facility discharge management, more than 30 minutes3532$0
View full utilization report →

Insurance plans in this area (ZIP 45036)

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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: 8224301551View full group profile
NameSpecialtyState
Internal MedicineOH

Reviews

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Frequently asked questions

What number should I use to identify SUSAN E. BUSH CORDREY (NP) for billing?
Administrative and clinical systems typically use NPI 1811220635 for SUSAN E. BUSH CORDREY (NP).
Does the public listing show SUSAN E. BUSH CORDREY (NP) as active?
SUSAN E. BUSH CORDREY (NP)'s NPI record reflects an active status in NPPES.
What type of care does SUSAN E. BUSH CORDREY (NP) provide?
SUSAN E. BUSH CORDREY (NP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SUSAN E. BUSH CORDREY (NP) in Lebanon, Ohio?
For routing, start with Lebanon, Ohio for SUSAN E. BUSH CORDREY (NP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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