SUSAN MIMS – Physician Assistant, NPI 1124473616

SUSAN MIMS is a healthcare provider. based in Cuero, Texas. specializing in PHYSICIAN ASSISTANT. The NPI Number for SUSAN MIMS is 1124473616

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MIMS
NPI
1124473616
Phone
(361) 275-2381
Address
2500 N ESPLANADE ST
Enumeration Date
3 May 2016
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1254611056
Group Practice PAC ID
3072421395
Professional Enrollment ID
I20161214000837
Address ID
TX779544736CU2550XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for SUSAN MIMS

  • 2500, North Esplanade Street, Cuero, DeWitt County, Texas, 77954, United States

    STE 102

    CUERO, TX 779544727

    Phone: (361) 275-2381

    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 29 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($114).

Total Amount

$500

General + Research + Ownership

Payments

29

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2016-12-14

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
I20161214000837IPhysician AssistantTXTBD

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 77954)

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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: 3072421395View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyTX
Nurse PractitionerTX
General SurgeryTX
Family PracticeTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Family Practice, Obstetrics/GynecologyTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Emergency Medicine, Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SUSAN MIMS?
SUSAN MIMS — NPI 1124473616 — is the standard way to identify this listing.
Is SUSAN MIMS still practicing?
SUSAN MIMS is currently listed as active in the public NPI registry.
What is SUSAN MIMS's primary classification?
Physician Assistant is the headline specialty for SUSAN MIMS here. Clinical services aligned with this taxonomy classification.
Does SUSAN MIMS list a practice location?
Patients near Cuero, Texas may find SUSAN MIMS in results; validate coverage separately.
Is the information about SUSAN MIMS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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