PEI-TZU ANGELA SU
NPI 1144940586
Registered Nurse - Psychiatric/Mental Health in Indianapolis, IN

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 519-4895 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2026, Jun 20, 2024, May 17, 2024 and 3 more (6 updates tracked since 2022).

About Pei-tzu Angela Su NPPES

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

PEI-TZU ANGELA SU (NPI 1144940586) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (28254309A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144940586
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NamePEI-TZU ANGELA SU
Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621
Mailing Address7165 Clearvista WayIndianapolis, IN 46256-4621 · (317) 621-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2022
Last NPPES UpdateApril 22, 20236 updates tracked since enumeration
NPPES CertifiedApril 22, 2023
✔ NPI 1144940586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IN · 28254309A
7165 CLEARVISTA WAY, Indianapolis, IN 46256

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pei-tzu Angela Su 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 ID1951765163
PECOS Enrollment IDI20230906003154
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 Reassignments

4

Medicare enrollment records show Pei-tzu Su reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2506 WILLOWBROOK PKWY STE 300
Indianapolis, IN 46205
  • Reassigned Medicare billing, Indiana enrollment
  • 204 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
697 PRO MED LN
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 187 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group

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.

Marriage & Family Therapist
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Counselor (Mental Health)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256

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 Pei-tzu Su's NPI number?

The NPI number for Pei-tzu Su is 1144940586. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Pei-tzu Su located?

Pei-tzu Su practices at 7165 Clearvista Way, Indianapolis, IN 46256. The listed phone number is (317) 519-4895.

What is Pei-tzu Su's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Pei-tzu Su enrolled in Medicare?

Yes. Pei-tzu Su 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.

Which organizations bill Medicare for Pei-tzu Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pei-tzu Su reassigns Medicare benefits to 4 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN), Aspire Indiana Health Inc (Indianapolis, IN), Aspire Indiana Inc. (Carmel, IN) and Jane Pauley Community Health Center Inc (Indianapolis, IN). Each 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 Pei-tzu Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pei-tzu Su accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Pei-tzu Su 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 Pei-tzu Su was last updated on April 22, 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.