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SUSAN RENE RODGERS NURSE PRACTITIONER
NPI 1124378781
Nurse Practitioner in Los Angeles, CA

Active since September 11, 2012PECOS Enrolled
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(310) 757-4597 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2025, Mar 17, 2023, Feb 13, 2023 and 2 more (5 updates tracked since 2018).

About Susan Rene Rodgers Nurse Practitioner NPPES

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

SUSAN RENE RODGERS NURSE PRACTITIONER (NPI 1124378781) is an individual nurse practitioner in Los Angeles, California, licensed in North Carolina (5005993) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124378781
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN RENE RODGERSCredential: NURSE PRACTITIONER
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address11301 Wilshire BlvdLos Angeles, CA 90073-1003 · (310) 757-4597
Phone(310) 757-4597
Sole ProprietorNo
Enumeration DateSeptember 11, 2012
Last NPPES UpdateMay 19, 20255 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1124378781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5005993
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 213696 (NC)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5005993 (NC)
11301 WILSHIRE BLVD, Los Angeles, CA 90073
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Other Names 1

Former Name (1)Susan Rene Rodgers Acnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Rene Rodgers Nurse Practitioner 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 Rodgers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group, LLC
2,239 mi
Obesity Medicine
160 MACGREGOR PINES DR
Cary, NC 27511
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1013571587 (919) 234-4468

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
630 services380 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
511 services339 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
17 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90073 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

JOANNA ZUHAIL CENTENO I
Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. APRIL S. BULLOCK MSW,ACSW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3000
NICOLE CHAN LISW
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 487-6026
DANIEL SMEE SOCIAL WORK
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AMANDA SALVESTRINI MS, RD
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
RACHEL DAJANI MD
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
HARRISON BODRIE LCSW
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 987-8310
MR. ROBERTO CARMONA-VERGARA ASW
Student in an Organized Health Care Education/Training Program
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Rodgers's NPI number?

The NPI number for Susan Rodgers is 1124378781. It was assigned to this individual provider in the NPPES registry on September 11, 2012. The provider is also known as Susan Rene Rodgers Acnp-Bc.

Where is Susan Rodgers located?

Susan Rodgers practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 757-4597.

What is Susan Rodgers's specialty?

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

Is Susan Rodgers enrolled in Medicare?

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

Which organization bills Medicare for Susan Rodgers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Rodgers reassigns Medicare benefits to Wakemed Specialists Group, LLC (Cary, NC). 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 Rodgers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Rodgers was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.