MRS. SUSAN M KOLB NP
NPI 1053938340
Nurse Practitioner - Family in Verona, NY

Active since July 02, 2020PECOS EnrolledAccepts Medicare Assignment
5584 EAST MAIN STREET, VERONA, NY 13478(315) 473-3300(315) 473-3847 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Oct 18, 2021, Jul 2, 2020 (3 updates tracked since 2020).

About Mrs. Susan M Kolb Np NPPES

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

MRS. SUSAN M KOLB NP (NPI 1053938340) is an individual family provider in Verona, New York, licensed in New York (346052) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053938340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN M KOLBCredential: NP
Location Address5584 EAST MAIN STREETVerona, NY 13478
Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212 · (315) 464-2000 · Fax (315) 464-2010
Fax(315) 473-3847
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 2, 2020
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1053938340 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 NY · 346052✔ Licensed in NY · F346052-01
5584 EAST MAIN STREET, Verona, NY 13478

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

Mrs. Susan M Kolb 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 ID4385054907
PECOS Enrollment IDI20201110000339
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

4

Medicare enrollment records show Susan Kolb reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
116 BUSINESS PARK DRIVE, 1ST FLOOR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
General Acute Care Hospital
750 EAST ADAMS STREET
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 5

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13478 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 Susan Kolb's NPI number?

The NPI number for Susan Kolb is 1053938340. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Susan Kolb located?

Susan Kolb practices at 5584 East Main Street, Verona, NY 13478. The listed phone number is (315) 473-3300.

What is Susan Kolb's specialty?

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

Is Susan Kolb enrolled in Medicare?

Yes. Susan Kolb 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 organizations bill Medicare for Susan Kolb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kolb reassigns Medicare benefits to 4 organizations: Digestive Disease Medicine Of Central New York, LLP (Utica, NY), Mvhs Inc (Utica, NY), Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY) and Suny Health Science Center At Syracuse (Syracuse, NY). 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 Susan Kolb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Susan Kolb affiliated with any hospitals?

According to CMS data, Susan Kolb is affiliated with Wynn Hospital, Oneida Health Hospital, Rome Memorial Hospital, Inc, University Hospital S U N Y Health Science Center and Lewis County General Hospital.

When was this NPI record last updated?

The NPPES record for Susan Kolb was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.