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SUSAN D PAPPAS CRNP
NPI 1083799118
Nurse Practitioner - Family in Eden, NC

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
515 THOMPSON ST STE D, EDEN, NC 27288(336) 627-5178(336) 627-0727 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan D Pappas Crnp NPPES

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

SUSAN D PAPPAS CRNP (NPI 1083799118) is an individual family provider in Eden, North Carolina, licensed in Maryland (R059207) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1083799118
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN D PAPPASCredential: CRNP
Location Address515 THOMPSON ST STE DEden, NC 27288-5040
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(336) 627-5178
Fax(336) 627-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1083799118 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
License✔ Licensed in MD · R059207
515 THOMPSON ST STE D, Eden, NC 27288
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Other Identifiers 1

Medicaid416294300MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Susan D Pappas Crnp 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 ID2466538434
PECOS Enrollment IDI20190402002171
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 Pappas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unc Physicians Network, LLC
33 mi
Urology
1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1053751586 (336) 584-6300
Privia Care Center LLC
219 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 242 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
219 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Kentlands Medical Associates P.C
227 mi
Primary Care
344 MAIN ST, SUITE 100
Gaithersburg, MD 20878
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
NPI 1023337003 (240) 632-0333

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

Areas of Expertise CMS Part B claims

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.

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.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27288 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,012 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%29 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%579 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%562 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%562 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
70%562 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

UNC ROCKINGHAM HEALTH CARE, INC.
Family Medicine
515 THOMPSON ST STE D
EDEN, NC 27288
Rockingham County (336) 627-5178

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 Pappas's NPI number?

The NPI number for Susan Pappas is 1083799118. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Susan Pappas located?

Susan Pappas practices at 515 Thompson St Ste D, Eden, NC 27288. The listed phone number is (336) 627-5178.

What is Susan Pappas's specialty?

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

Is Susan Pappas enrolled in Medicare?

Yes. Susan Pappas 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 Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Pappas reassigns Medicare benefits to 4 organizations: Unc Physicians Network, LLC (Burlington, NC), Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA) and Kentlands Medical Associates P.C (Gaithersburg, MD). 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 Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Pappas accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Susan Pappas 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 Pappas affiliated with any hospitals?

According to CMS data, Susan Pappas is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Susan Pappas was last updated on August 9, 2021. 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.