SUSAN B SMITH APN
NPI 1164736047
Nurse Practitioner in Winfield, IL

Active since August 03, 2010PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
25 N WINFIELD RD, WINFIELD, IL 60190(630) 933-4700(630) 933-4427 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan B Smith Apn NPPES

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

SUSAN B SMITH APN (NPI 1164736047) is an individual nurse practitioner in Winfield, Illinois, licensed in Illinois (209007271) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1164736047
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN B SMITHCredential: APN
Location Address25 N WINFIELD RDWinfield, IL 60190
Mailing Address25 N Winfield RdWinfield, IL 60190 · (630) 933-4700 · Fax (630) 933-4427
Fax(630) 933-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 3, 2010
Last NPPES UpdateJune 22, 2018
NPI 1164736047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209007271
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209007271 (IL)
25 N WINFIELD RD, Winfield, IL 60190

Other Names 1

Former Name (1)Susan Bianchi

Other Identifiers 3

Medicaid$$$$$$$$$001IL
Other206147Medicare Ptan (group)
Other206147073Medicare Ptan (individual)

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 B Smith Apn 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 ID941478309
PECOS Enrollment IDI20110729000522
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190

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 Smith's NPI number?

The NPI number for Susan Smith is 1164736047. It was assigned to this individual provider in the NPPES registry on August 3, 2010. The provider is also known as Susan Bianchi.

Where is Susan Smith located?

Susan Smith practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 933-4700.

What is Susan Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Smith enrolled in Medicare?

Yes. Susan Smith 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.

Is Susan Smith affiliated with any hospitals?

According to CMS data, Susan Smith is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Susan Smith was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.