MS. SUSAN S BINGHAM NP
NPI 1053424945
Nurse Practitioner - Primary Care in Tampa, FL

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
7728 PALM RIVER RD, TAMPA, FL 33619(813) 653-6100(813) 938-6428 Get Directions Write a Review

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

About Ms. Susan S Bingham Np NPPES

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

MS. SUSAN S BINGHAM NP (NPI 1053424945) is an individual primary care provider in Tampa, Florida, licensed in Florida (ARNP2980002) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Plant City.

NPPES Registry Identity

NPI1053424945
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. SUSAN S BINGHAMCredential: NP
Location Address7728 PALM RIVER RDTampa, FL 33619-4215
Mailing Address13110 Elk Mountain DrRiverview, FL 33579-7182 · (813) 349-7568 · Fax (813) 349-7561
Fax(813) 938-6428
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 26, 2018
NPI 1053424945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · ARNP2980002
7728 PALM RIVER RD, Tampa, FL 33619

Secondary Practice Location 1

Location 1508 N Maryland AvePlant City, FL 33563-3820 · Phone (813) 349-7600 · Fax (813) 349-7661

Other Identifiers 1

Medicaid305059900FL

Accepted Insurance

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

Ms. Susan S Bingham Np 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 ID5698721678
PECOS Enrollment IDI20050323000230
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
128 services18 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
126 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services49 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
45 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
17 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33619 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 10

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

Pharmacy (Clinic Pharmacy)
7728 PALM RIVER RD
TAMPA, FL 33619
Chiropractor
7728 PALM RIVER RD
TAMPA, FL 33619
Clinical Nurse Specialist (Women's Health)
7728 PALM RIVER RD
TAMPA, FL 33619
Clinic/Center (Federally Qualified Health Center (FQHC))
7728 PALM RIVER RD
TAMPA, FL 33619
Dentist (Pediatric Dentistry)
7728 PALM RIVER RD
TAMPA, FL 33619
General Practice
7728 PALM RIVER RD
TAMPA, FL 33619
Dentist (General Practice)
7728 PALM RIVER RD
TAMPA, FL 33619
Dentist
7728 PALM RIVER RD
TAMPA, FL 33619

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 Susan Bingham's NPI number?

The NPI number for Susan Bingham is 1053424945. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Susan Bingham located?

Susan Bingham practices at 7728 Palm River Rd, Tampa, FL 33619. The listed phone number is (813) 653-6100.

What is Susan Bingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Susan Bingham enrolled in Medicare?

Yes. Susan Bingham 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.

What insurance does Susan Bingham accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare and 1 other insurer list Susan Bingham 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.

Is Susan Bingham affiliated with any hospitals?

According to CMS data, Susan Bingham is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Susan Bingham was last updated on March 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.