SUSAN MARIA LAVELLE NP
NPI 1124226931
Nurse Practitioner - Community Health in Guerneville, CA
About Susan Maria Lavelle Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MARIA LAVELLE NP (NPI 1124226931) is an individual community health provider in Guerneville, California, licensed in California (NP 17209) and active in the NPI registry since July 2007. She has opted out of Medicare through September 21, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Susan Maria Lavelle Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 21, 2022 through September 21, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95446 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GUERNEVILLE, CA 95446
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 Lavelle's NPI number?
The NPI number for Susan Lavelle is 1124226931. It was assigned to this individual provider in the NPPES registry on July 3, 2007.
Where is Susan Lavelle located?
Susan Lavelle practices at 16319 Third Street, Guerneville, CA 95446. The listed phone number is (707) 869-2849.
What is Susan Lavelle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.
Is Susan Lavelle enrolled in Medicare?
No. Susan Lavelle has opted out of Medicare through September 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Susan Lavelle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 Maria Lavelle, NP · NPI 1124226931
Community Health physician in Guerneville, California. Individual provider, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1124226931 (Entity type: Individual)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Nurse Practitioner - Community Health · taxonomy 363LC1500X
- **State license:** NP 17209 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16319 THIRD STREET, Guerneville, CA 95446
- **Phone:** (707) 869-2849 · **Fax:** (707) 869-1477
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 21, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1124226931) · Data from the CMS NPPES public registry.