MS. SUSAN JEAN FAIRLEY-HOLBACH NURSE PRACTITIONER
NPI 1114162864
Nurse Practitioner - Acute Care in Zion, IL

Active since December 10, 2008PECOS EnrolledAccepts Medicare Assignment
2520 ELISHA AVE, ZION, IL 60099(847) 872-4888(847) 872-5716 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 19, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Susan Jean Fairley-holbach Nurse Practitioner NPPES

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

MS. SUSAN JEAN FAIRLEY-HOLBACH NURSE PRACTITIONER (NPI 1114162864) is an individual acute care provider in Zion, Illinois, licensed in Illinois (209.007359) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Midwestern Region Med Center, Inc, and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1114162864
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. SUSAN JEAN FAIRLEY-HOLBACHCredential: NURSE PRACTITIONER
Location Address2520 ELISHA AVEZion, IL 60099-2676
Mailing Address2520 Elisha AveZion, IL 60099-2676 · (847) 872-6259
Fax(847) 872-5716
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 10, 2008
Last NPPES UpdateFebruary 15, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1114162864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209.007359
2520 ELISHA AVE, Zion, IL 60099

Secondary Practice Location 1

Location 13701 Doty RdWoodstock, IL 60098-7509 · Phone (815) 338-2500

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

Ms. Susan Jean Fairley-holbach Nurse Practitioner 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 ID9931245651
PECOS Enrollment IDI20091012000204
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.

Hospital Affiliations CMS Care Compare

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

Midwestern Region Med Center, Inc

Acute Care Hospitals · Zion, IL
5/5 CMS rating
OwnershipProprietary
CMS Certification Number140100
Location2520 Elisha AvenueZion, IL 60099 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60099 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%62 patients3/55-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 20

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

Counselor (Mental Health)
2520 ELISHA AVE
ZION, IL 60099
Speech-Language Pathologist
2520 ELISHA AVE
ZION, IL 60099
Specialist/Technologist, Other (Surgical Assistant)
2520 ELISHA AVE
ZION, IL 60099
Radiology (Vascular & Interventional Radiology)
2520 ELISHA AVE
ZION, IL 60099
Dietitian, Registered
2520 ELISHA AVE
ZION, IL 60099
Physician Assistant
2520 ELISHA AVE
ZION, IL 60099
Nurse Practitioner
2520 ELISHA AVE
ZION, IL 60099
Surgery (Plastic and Reconstructive Surgery)
2520 ELISHA AVE
ZION, IL 60099

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 Fairley-holbach's NPI number?

The NPI number for Susan Fairley-holbach is 1114162864. It was assigned to this individual provider in the NPPES registry on December 10, 2008.

Where is Susan Fairley-holbach located?

Susan Fairley-holbach practices at 2520 Elisha Ave, Zion, IL 60099. The listed phone number is (847) 872-4888.

What is Susan Fairley-holbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Susan Fairley-holbach enrolled in Medicare?

Yes. Susan Fairley-holbach 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 Fairley-holbach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Network Health list Susan Fairley-holbach 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 Fairley-holbach affiliated with any hospitals?

According to CMS data, Susan Fairley-holbach is affiliated with Midwestern Region Med Center, Inc.

When was this NPI record last updated?

The NPPES record for Susan Fairley-holbach was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.