DR. SUZANNE T WITTERHOLT MD
NPI 1013018688
Psychiatry & Neurology - Pain Medicine in Coon Rapids, MN

Q: What is Suzanne Witterholt's NPI number?

The NPI number for Suzanne Witterholt is 1013018688. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Suzanne Witterholt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Active since September 26, 2006PECOS Enrolled

9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2021, Jan 10, 2017 (2 updates tracked since 2017).

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About Dr. Suzanne T Witterholt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUZANNE T WITTERHOLT MD (NPI 1013018688) is an individual pain medicine provider in Coon Rapids, Minnesota, licensed in Minnesota (35882) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013018688

Entity TypeIndividualFemale

Primary Taxonomy2084P2900X

Provider Legal NameDR. SUZANNE T WITTERHOLTCredential: MD

Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000 · Fax (763) 712-4013

Phone(763) 780-9155

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1013018688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084P2900X

License✔ Licensed in MN · 35882

Definition

A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suzanne T Witterholt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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