SUSAN CAROL HIBBS PMHNP, APRN
NPI 1124705660
Nurse Practitioner - Psychiatric/Mental Health in Roseburg, OR

Active since June 28, 2023PECOS EnrolledAccepts Medicare Assignment
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Carol Hibbs Pmhnp, Aprn NPPES

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

SUSAN CAROL HIBBS PMHNP, APRN (NPI 1124705660) is an individual psychiatric/mental health provider in Roseburg, Oregon, licensed in Oregon (10015313) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124705660
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN CAROL HIBBSCredential: PMHNP, APRN
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 28, 2023
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1124705660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 10015313
621 W MADRONE ST, Roseburg, OR 97470

Other Names 1

Former Name (1)Susan Carol Hibbs-sundem Aprn, Pmhnp

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 Carol Hibbs Pmhnp, Aprn 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 ID6800245911
PECOS Enrollment IDI20231214003478
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.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Nurse Practitioner (Women's Health)
621 W MADRONE ST, SUITE 223
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Community/Behavioral Health
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124705660, enumerated as an "individual" on June 28, 2023.

The provider is located at 621 W MADRONE ST ROSEBURG, OR 97470 and the phone number is (541) 672-2691.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Susan Hibbs is affiliated with: MERCY MEDICAL CENTER.