SUSAN ANN ADDIE N.P.
NPI 1083596118
Nurse Practitioner in Tyler, TX

Q: What is Susan Addie's NPI number?

The NPI number for Susan Addie is 1083596118. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Q: What is Susan Addie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Addie was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment

700 OLYMPIC PLAZA CIR STE 850, TYLER, TX 75701(903) 596-3604 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Susan Ann Addie N.p. NPPES

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

SUSAN ANN ADDIE N.P. (NPI 1083596118) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (1206581) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083596118

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN ANN ADDIECredential: N.P.

Location Address700 OLYMPIC PLAZA CIR STE 850Tyler, TX 75701-1955

Mailing Address700 Olympic Plaza Cir Ste 850Tyler, TX 75701-1955 · (903) 596-3604

Phone(903) 596-3604

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1083596118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1206581

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

700 OLYMPIC PLAZA CIR STE 850, Tyler, TX 75701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Ann Addie N.p. 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 ID1456851369

PECOS Enrollment IDI20250825003247

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.

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 13

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

KYLIE B CARIMI APRN, FNP-C

Nurse Practitioner