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DR. AMY BLAKE SUSNOW M.D.
NPI 1043246994
Medical Genetics - Clinical Genetics (M.D.) in Madison, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6420 Get Directions Write a Review

NPPES record last updated: July 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2022, Oct 25, 2017, Jul 26, 2017 (3 updates tracked since 2017).

About Dr. Amy Blake Susnow M.d. NPPES

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

DR. AMY BLAKE SUSNOW M.D. (NPI 1043246994) is an individual clinical genetics (m.d.) provider in Madison, Wisconsin, licensed in Wisconsin (56132) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2006).

NPPES Registry Identity

NPI1043246994
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameDR. AMY BLAKE SUSNOWCredential: M.D.
Location Address600 HIGHLAND AVEMadison, WI 53792-2274
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-6420
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2006
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 3, 20223 updates tracked since enumeration
NPPES CertifiedJuly 3, 2022
✔ NPI 1043246994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in WI · 56132✔ Licensed in CO · DR.0058101
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License FE60028232 (WA)
600 HIGHLAND AVE, Madison, WI 53792
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Other Names 1

Former Name (1)Dr. Amy S Blake Md

Other Identifiers 1

Other028673CO · Kaiser Commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy Blake Susnow M.d. 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 ID3577950468
PECOS Enrollment IDI20220422002368
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 Reassignment

Medicare enrollment records show Amy Susnow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
4.8 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Amy Susnow's NPI number?

The NPI number for Amy Susnow is 1043246994. It was assigned to this individual provider in the NPPES registry on June 23, 2006. The provider is also known as Dr. Amy S Blake MD.

Where is Amy Susnow located?

Amy Susnow practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.

What is Amy Susnow's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Amy Susnow enrolled in Medicare?

Yes. Amy Susnow 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.

Which organization bills Medicare for Amy Susnow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Susnow reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The 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 Amy Susnow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Susnow accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and HealthPartners list Amy Susnow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Susnow was last updated on July 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.