SUSAN CLARE SHADDOCK CNP
NPI 1073036554
Nurse Practitioner in Worcester, MA
About Susan Clare Shaddock Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN CLARE SHADDOCK CNP (NPI 1073036554) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2304241) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
Susan Clare Shaddock Cnp 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Shaddock's NPI number?
The NPI number for Susan Shaddock is 1073036554. It was assigned to this individual provider in the NPPES registry on July 17, 2017. The provider is also known as Susan Clare Emmerling.
Where is Susan Shaddock located?
Susan Shaddock practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.
What is Susan Shaddock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susan Shaddock enrolled in Medicare?
Yes. Susan Shaddock 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 Shaddock accept?
Health plans from Anthem Blue Cross and Blue Shield list Susan Shaddock 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 Shaddock affiliated with any hospitals?
According to CMS data, Susan Shaddock is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Susan Shaddock was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Susan Clare Shaddock, CNP · NPI 1073036554
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 17, 2017.
## Identity
- **NPI:** 1073036554 (Entity type: Individual)
- **Enumerated:** July 17, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN2304241 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 443-7552 · **Fax:** (774) 441-6086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 27, 2020
- **Other identifiers:** Medicaid 110129191A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073036554) · Data from the CMS NPPES public registry.