SUSAN R MARSHALL (RD MS) – Registered Dietitian, NPI 1124575964

SUSAN R MARSHALL (RD MS) is a healthcare provider. based in Glen allen, Virginia. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD MS. The NPI Number for SUSAN R MARSHALL (RD MS) is 1124575964

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN R MARSHALL (RD MS)
NPI
1124575964
Phone
(804) 346-1780
Address
4900 COX RD STE 150
Enumeration Date
9 September 2016
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043461780
Graduation Year
2016 (10 years ago)
PAC ID
6204124878
Group Practice PAC ID
5597650804
Professional Enrollment ID
I20161013002272
Address ID
VA230606507GL4900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

166 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in VA

Provider Addresses for SUSAN R MARSHALL (RD MS)

  • 4900 COX RD STE 150

    GLEN ALLEN, VA 230606507

    Phone: (804) 346-1780

    Fax: (804) 346-1781

    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: 2016-10-13

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
I20161013002272IRegistered Dietitian Or Nutrition ProfessionalVATBD

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
97803Therapy procedure reassessment for nutrition management, each 15 minutes8822$0
97802Therapy procedure for nutrition management, each 15 minutes8428$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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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: 5597650804View full group profile
NameSpecialtyState
Family PracticeAR
Physician AssistantVA
-VA
-VA
Nurse PractitionerVA
-VA
Family PracticeVA
Family PracticeVA
Sports Medicine, Family PracticeVA
R H E U M A T O L O G YVA

Reviews

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Frequently asked questions

What is the registry number for SUSAN R MARSHALL (RD MS)?
The registry entry for SUSAN R MARSHALL (RD MS) shows NPI 1124575964.
Quick check: is SUSAN R MARSHALL (RD MS) active?
Public NPPES data shows SUSAN R MARSHALL (RD MS) with an active NPI status right now.
How should patients interpret SUSAN R MARSHALL (RD MS)'s specialty?
The extract shows Registered Dietitian for SUSAN R MARSHALL (RD MS). Clinical services aligned with this taxonomy classification.
What city is tied to SUSAN R MARSHALL (RD MS)?
The directory associates SUSAN R MARSHALL (RD MS) with Glen Allen, Virginia. Check all listed addresses for suites or satellite offices.
Can I export SUSAN R MARSHALL (RD MS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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