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SUSAN KUPSTAS CRNP
NPI 1104710581
Nurse Practitioner - Family in Wilkes Barre, PA

Active since June 09, 2025PECOS Enrolled
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 491-0126(570) 230-0013 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Kupstas Crnp NPPES

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

SUSAN KUPSTAS CRNP (NPI 1104710581) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP033418) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104710581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN KUPSTASCredential: CRNP
Location Address169 N PENNSYLVANIA AVEWilkes Barre, PA 18701-3603
Mailing Address298 Ridge StHanover Township, PA 18706-3037 · (570) 709-9353
Phone(570) 491-0126
Fax(570) 230-0013
Sole ProprietorNo
Enumeration DateJune 9, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1104710581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP033418
Also ListedRegistered NurseTaxonomy 163W00000X · License RN631817 (PA)
169 N PENNSYLVANIA AVE, Wilkes Barre, PA 18701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Kupstas Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Kupstas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Wright Center Medical Group
15 mi
Internal Medicine
329 CHERRY ST
Scranton, PA 18505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 91 clinicians in this Medicare group
NPI 1194739979 (570) 591-5250

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 18701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 18

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

NINA M POLIAK M.D.
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
BARBARA LYNNETTE HOFFMAN FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
SCARLET D PUJOLS RECIO CCHW
Community Health Worker
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
CARLOS LUIS OBERTO M.D
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
FAIZA HASSAN MD
Internal Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
STEPHANIE A GILL MD
Family Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
MR. MICHAEL J MUCCIOLO
Pharmacist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
MICHAEL REGAN DMD
Dentist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (507) 491-0126

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 Kupstas's NPI number?

The NPI number for Susan Kupstas is 1104710581. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Susan Kupstas located?

Susan Kupstas practices at 169 N Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 491-0126.

What is Susan Kupstas's specialty?

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

Is Susan Kupstas enrolled in Medicare?

Yes. Susan Kupstas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kupstas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kupstas reassigns Medicare benefits to The Wright Center Medical Group (Scranton, PA). 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 Kupstas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kupstas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Susan Kupstas 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.

When was this NPI record last updated?

The NPPES record for Susan Kupstas was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.