SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) – Family Nurse Practitioner, NPI 1366409179

SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) is a healthcare provider. based in Nashville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C PMHNP-BC. They hold a License No. 6679 (TN). The NPI Number for SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) is 1366409179

Main info

Female
22 Years Of Experience
Name
SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC)
NPI
1366409179
Phone
(615) 936-3767
Address
1211 21ST AVENUE SOUTH
Enumeration Date
26 April 2006
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6623072884
Graduation Year
2004 (22 years ago)
PAC ID
4587674908
Group Practice PAC ID
3678832029
Professional Enrollment ID
I20250912002442
Address ID
MS390903424KO50XXXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

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Provider Addresses for SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC)

  • 1211, 21st Avenue South, Nashville, Davidson County, Tennessee, 37212, United States

    SUITE 112

    NASHVILLE, TN 372321343

    Phone: (615) 936-3767

    Fax: (615) 936-0966

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $1,202.

Total Amount is formed as General ($1,202) + Research ($0) + Ownership ($0) = $1,202.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ITI, Inc. ($291).

Total Amount

$1,202

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20060501000281INurse PractitionerTNTBD
I20170927002082INurse PractitionerKYTBD
I20210216000290INurse PractitionerMSTBD
I20220105001419INurse PractitionerLATBD
I20250912002442INurse PractitionerNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37232)

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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: 3678832029View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerAR
Clinical Social WorkerTN
Nurse PractitionerAR
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerNC
-MS
-MS

Reviews

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Frequently asked questions

How is SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) with NPI 1366409179.
Can I rely on SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) being an active provider?
As of the registry snapshot, SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) is marked active.
What taxonomy line describes SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC)?
For research purposes, treat SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC)?
SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC)'s geographic hint is Nashville, Tennessee in our summary view.
Is the information about SUSAN ELAINE DAUWALDER (FNP-C PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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