SUSAN EILEEN BAILEY CNP
NPI 1124540455
Nurse Practitioner - Family in Fort Wayne, IN
About Susan Eileen Bailey Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN EILEEN BAILEY CNP (NPI 1124540455) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71007587A) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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 Eileen Bailey Cnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Bailey's NPI number?
The NPI number for Susan Bailey is 1124540455. It was assigned to this individual provider in the NPPES registry on July 7, 2017.
Where is Susan Bailey located?
Susan Bailey practices at 3005 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 267-9498.
What is Susan Bailey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Bailey enrolled in Medicare?
Yes. Susan Bailey 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 Bailey accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Susan Bailey 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 Bailey was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Susan Eileen Bailey, CNP · NPI 1124540455
Family physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since July 7, 2017.
## Identity
- **NPI:** 1124540455 (Entity type: Individual)
- **Enumerated:** July 7, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71007587A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3005 E STATE BLVD, Fort Wayne, IN 46805-4736
- **Phone:** (260) 267-9498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124540455) · Data from the CMS NPPES public registry.