SUSAN MARY DEGUTES N.P.
NPI 1093882367
Nurse Practitioner - Adult Health in San Rafael, CA

Q: 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.

Q: What is Susan Degutes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: 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.

Active since November 29, 2006PECOS Enrolled

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1093882367

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSUSAN MARY DEGUTESCredential: N.P.

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308

Phone(415) 444-2000

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateDecember 20, 2021

NPPES CertifiedDecember 15, 2021

✔ NPI 1093882367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 487580

99 MONTECILLO RD, San Rafael, CA 94903

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Mary Degutes N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

Leave this field empty

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)