SUSAN D STOLZ NP
NPI 1104821271
Nurse Practitioner in Bloomington, IN

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
97.25/100
CMS Quality Rating
1200 S ROGERS ST, BLOOMINGTON, IN 47403(812) 339-6434(812) 331-0196 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan D Stolz Np NPPES

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

SUSAN D STOLZ NP (NPI 1104821271) is an individual nurse practitioner in Bloomington, Indiana, licensed in Indiana (71000073A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1104821271
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN D STOLZCredential: NP
Location Address1200 S ROGERS STBloomington, IN 47403-4792
Mailing Address1200 S Rogers StBloomington, IN 47403-4792 · (812) 339-6434 · Fax (812) 331-0196
Fax(812) 331-0196
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 16, 2005
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1104821271 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 IN · 71000073A
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.
1200 S ROGERS ST, Bloomington, IN 47403

Other Identifiers 1

Medicaid300012943IN

Accepted 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 D Stolz Np 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 ID4183768237
PECOS Enrollment IDI20100212000662
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.

Areas of Expertise CMS Part B claims 12

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.
626 services536 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
312 services106 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
229 services198 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
205 services195 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
199 services175 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%990 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%92 patients
Provide Patients Electronic Access to Their Health Information
92%825 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%214 patients5/55-star benchmark: 100%
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 15

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

Physician Assistant
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Dermatology
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Nurse Practitioner
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Nurse Practitioner
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Physician Assistant
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Dermatology
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Specialist
1200 S ROGERS ST
BLOOMINGTON, IN 47403
Dermatology
1200 S ROGERS ST
BLOOMINGTON, IN 47403

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 Stolz's NPI number?

The NPI number for Susan Stolz is 1104821271. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Susan Stolz located?

Susan Stolz practices at 1200 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 339-6434.

What is Susan Stolz's specialty?

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

Is Susan Stolz enrolled in Medicare?

Yes. Susan Stolz 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.

What insurance does Susan Stolz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Susan Stolz 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 Stolz was last updated on March 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.