SUSAN MARY DEGUTES N.P.
NPI 1093882367
Nurse Practitioner - Adult Health in San Rafael, CA
About Susan Mary Degutes N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MARY DEGUTES N.P. (NPI 1093882367) is an individual adult health provider in San Rafael, California, licensed in California (487580) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Mary Degutes N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Degutes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN RAFAEL, CA 94903
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 Degutes's NPI number?
The NPI number for Susan Degutes is 1093882367. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Susan Degutes located?
Susan Degutes practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.
What is Susan Degutes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Susan Degutes enrolled in Medicare?
Yes. Susan Degutes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Degutes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Degutes reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Degutes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Degutes was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Mary Degutes, N.P. · NPI 1093882367
Adult Health physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1093882367 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 487580 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 MONTECILLO RD, San Rafael, CA 94903-3308
- **Phone:** (415) 444-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1093882367) · Data from the CMS NPPES public registry.