SUSAN ELIZABETH PASSARELLI (NP) – Family Nurse Practitioner, NPI 1154842805
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for SUSAN ELIZABETH PASSARELLI (NP)
12200 SE MCLOUGHLIN BLVD APT 5201
MILWAUKIE, OR 972227211
Phone: (217) 766-7497
Type: Mailing
5005 NE SANDY BLVD
PORTLAND, OR 972131941
Phone: (503) 233-6940
Fax: (503) 236-2676
Type: Location
Columbia Bank, 29702, Southwest Town Center Loop West, Wilsonville, Metro, Clackamas County, Oregon, 97070, United States
WILSONVILLE, OR 970706481
Phone: (503) 482-5570
Type: Location
800 SW 13TH AVE
PORTLAND, OR 972051999
Phone: (503) 221-0161
Type: Mailing
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: 2017-12-11
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 |
|---|---|---|---|---|
| I20171211001350 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 30 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 23 | 21 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 23 | 22 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 11 | $0 |
Insurance plans in this area (ZIP 97222)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| Sports Medicine | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| O P T O M E T R Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR |
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