SUSAN S JACKSON (CRNP) – Nurse Practitioner, NPI 1174827406
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for SUSAN S JACKSON (CRNP)
200 LOTHROP ST
FORBES TOWER, SUITE 9055
PITTSBURGH, PA 152132536
Phone: (412) 647-3087
Type: Mailing
110 N MAIN ST
GREENVILLE, PA 161251726
Phone: (724) 589-1616
Type: Location
2411 Wilmington Rd
New Castle, PA 161051938
Phone: (724) 656-4320
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $19 |
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: 2024-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110304000049 | I | Nurse Practitioner | PA | TBD |
| I20240725002623 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 135 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 46 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 42 | 21 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 30 | $0 |
Insurance plans in this area (ZIP 15213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA | |
| Emergency Medicine | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | VA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA |
Reviews
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