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: August 09, 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.

Areas of Expertise CMS Part B claims

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
60 services36 patients

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.

Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470

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 Hibbs's NPI number?

The NPI number for Susan Hibbs is 1124705660. It was assigned to this individual provider in the NPPES registry on June 28, 2023. The provider is also known as Susan Carol Hibbs-Sundem Aprn, Pmhnp.

Where is Susan Hibbs located?

Susan Hibbs practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Susan Hibbs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Hibbs enrolled in Medicare?

Yes. Susan Hibbs 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 Hibbs accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susan Hibbs 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 Hibbs affiliated with any hospitals?

According to CMS data, Susan Hibbs is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Hibbs was last updated on March 11, 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.