1. Home
  2. Directory
  3. Illinois
  4. Galesburg
  5. Nurse Practitioner
  6. NPI Profile

MRS. SUSIE MARIE AVERY APRN
NPI 1043709660
Nurse Practitioner - Family in Galesburg, IL

Active since May 09, 2018PECOS Enrolled
1887 SUNSET DR, GALESBURG, IL 61401(309) 371-9300 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Susie Marie Avery Aprn NPPES

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

MRS. SUSIE MARIE AVERY APRN (NPI 1043709660) is an individual family provider in Galesburg, Illinois, licensed in Arizona (AP10890) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043709660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSIE MARIE AVERYCredential: APRN
Location Address1887 SUNSET DRGalesburg, IL 61401-8531
Mailing Address1887 Sunset DrGalesburg, IL 61401-8531 · (309) 371-9300
Phone(309) 371-9300
Sole ProprietorNo
Enumeration DateMay 9, 2018
✔ NPI 1043709660 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
Licenses✔ Licensed in AZ · AP10890✔ Licensed in IL · 209.017133
1887 SUNSET DR, Galesburg, IL 61401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susie Marie Avery Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Susie Avery's NPI number?

The NPI number for Susie Avery is 1043709660. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Susie Avery located?

Susie Avery practices at 1887 Sunset Dr, Galesburg, IL 61401. The listed phone number is (309) 371-9300.

What is Susie Avery's specialty?

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

Is Susie Avery enrolled in Medicare?

Yes. Susie Avery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susie Avery was last updated on May 9, 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.