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DR. NICOLE SUSSER DO
NPI 1023309226
Emergency Medicine in Grand Rapids, MI

Active since April 22, 2011PECOS Enrolled
2040 RAYBROOK ST SE STE 200, GRAND RAPIDS, MI 49546(616) 386-4260 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Dec 11, 2025, Nov 22, 2025 (3 updates tracked since 2025).

About Dr. Nicole Susser Do NPPES

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

DR. NICOLE SUSSER DO (NPI 1023309226) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101013675) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023309226
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICOLE SUSSERCredential: DO
Location Address2040 RAYBROOK ST SE STE 200Grand Rapids, MI 49546-7718
Mailing Address2040 Raybrook St Se Ste 200Grand Rapids, MI 49546-7718 · (616) 386-4260
Phone(616) 386-4260
Sole ProprietorNo
Enumeration DateApril 22, 2011
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1023309226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101013675
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 5101013675 (MI)
2040 RAYBROOK ST SE STE 200, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Susser Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Susser reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trueline Health Clinic PLLC
Same address
Family Medicine
2040 RAYBROOK ST SE STE 200
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1174389605 (616) 386-4260
Signify Health Medical Associates, PLLC
922 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

TRUELINE HEALTH CLINIC PLLC
Family Medicine
2040 RAYBROOK ST SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 386-4260
ABHA G. VARMA MD
Internal Medicine
2040 RAYBROOK ST SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 386-4260
DR. RENEE HILL D.P.T.
Physical Therapist
2040 RAYBROOK ST SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 386-4260

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 Nicole Susser's NPI number?

The NPI number for Nicole Susser is 1023309226. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Nicole Susser located?

Nicole Susser practices at 2040 Raybrook St SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 386-4260.

What is Nicole Susser's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Susser enrolled in Medicare?

Yes. Nicole Susser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Susser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Susser reassigns Medicare benefits to 2 organizations: Trueline Health Clinic PLLC (Grand Rapids, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Susser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Susser was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.