SUZANNE WATTS DEDMORE RN, FNP-C
NPI 1013296326
Nurse Practitioner - Family in Santa Rosa, CA

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
1110 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2018, Mar 2, 2017 (2 updates tracked since 2017).

About Suzanne Watts Dedmore Rn, Fnp-c NPPES

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

SUZANNE WATTS DEDMORE RN, FNP-C (NPI 1013296326) is an individual family provider in Santa Rosa, California, licensed in California (20520) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013296326
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZANNE WATTS DEDMORECredential: RN, FNP-C
Location Address1110 N DUTTON AVESanta Rosa, CA 95401-4606
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2011
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
NPI 1013296326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 20520
1110 N DUTTON AVE, Santa Rosa, CA 95401

Secondary Practice Location 1

Location 13569 Round Barn CirSanta Rosa, CA 95403-5781 · Phone (707) 303-3600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suzanne Watts Dedmore Rn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739310558
PECOS Enrollment IDI20240830001869
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$73.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Neuromusculoskeletal Medicine & OMM
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Clinic/Center (Federally Qualified Health Center (FQHC))
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Physician Assistant (Medical)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Dedmore's NPI number?

The NPI number for Suzanne Dedmore is 1013296326. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Suzanne Dedmore located?

Suzanne Dedmore practices at 1110 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 303-3600.

What is Suzanne Dedmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suzanne Dedmore enrolled in Medicare?

Yes. Suzanne Dedmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Suzanne Dedmore was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.