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SUSAN DURHAM
NPI 1124805791
Social Worker - School in Stafford, VA

Active since September 08, 2023PECOS Enrolled
31 STAFFORD AVE, STAFFORD, VA 22554(540) 658-6150 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Durham NPPES

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

SUSAN DURHAM (NPI 1124805791) is an individual school provider in Stafford, Virginia and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124805791
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameSUSAN DURHAM
Location Address31 STAFFORD AVEStafford, VA 22554-7246
Mailing Address106 Sand Dollar CvStafford, VA 22554-4514
Phone(540) 658-6150
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1124805791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
31 STAFFORD AVE, Stafford, VA 22554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Durham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42774077
PECOS Enrollment IDI20260710002219
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 Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychological Preventative Health PLLC
1,830 mi
Mental Health (Including Community Mental Health Center)
2300 N YELLOWSTONE HWY STE 207
Idaho Falls, ID 83401
  • Reassigned Medicare billing, Utah enrollment
  • 23 clinicians in this Medicare group
NPI 1649808767 (801) 719-7737

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

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.

DAVID WRIGHT
Psychologist (School)
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6000
MRS. IVY CECILIA BISHOP- ST. ANGE MS OTRL
Occupational Therapist (Pediatrics)
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6000
TRACY ANN BANNON
Speech-Language Pathologist
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6000
CARRIE INGALLS SZLYK MPH, MS-CCC-SLP
Speech-Language Pathologist
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6000
SHANNON ROBINSON MSW
Social Worker (School)
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6464
JILL J HUTZEL
Psychologist (School)
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6300
JANET LYNN KOHL
Occupational Therapist
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 658-6500
RHONDA LYNN HORES-HECKMAN
Psychologist (School)
31 STAFFORD AVE
STAFFORD, VA 22554
Stafford County (540) 650-6500

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 Durham's NPI number?

The NPI number for Susan Durham is 1124805791. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Where is Susan Durham located?

Susan Durham practices at 31 Stafford Ave, Stafford, VA 22554. The listed phone number is (540) 658-6150.

What is Susan Durham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Susan Durham enrolled in Medicare?

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

Which organization bills Medicare for Susan Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Durham reassigns Medicare benefits to Psychological Preventative Health PLLC (Idaho Falls, ID). 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 Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Durham accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Susan Durham 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 Durham was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.