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DR. SUE ANN MAUGHMER DNP, APRN, FNP-BC
NPI 1174061022
Nurse Practitioner - Family in Chillicothe, OH

Active since February 10, 2017PECOS EnrolledAccepts Medicare Assignment
9.62/100
CMS Quality Rating
220 N PLAZA BLVD, CHILLICOTHE, OH 45601(740) 973-0631 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Feb 10, 2017 (2 updates tracked since 2017).

About Dr. Sue Ann Maughmer Dnp, Aprn, Fnp-bc NPPES

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

DR. SUE ANN MAUGHMER DNP, APRN, FNP-BC (NPI 1174061022) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.020279) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174061022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SUE ANN MAUGHMERCredential: DNP, APRN, FNP-BC
Location Address220 N PLAZA BLVDChillicothe, OH 45601-1787
Mailing Address220 N Plaza BlvdChillicothe, OH 45601-1787 · (740) 973-0631
Phone(740) 973-0631
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 10, 2017
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1174061022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.020279
220 N PLAZA BLVD, Chillicothe, OH 45601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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

Dr. Sue Ann Maughmer Dnp, Aprn, Fnp-bc 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 ID6305121070
PECOS Enrollment IDI20170320001426
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
337 services134 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
157 services78 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services28 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

9.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost32.09

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.

CHILLICOTHE MEDICAL SOLUTIONS LLC
Clinic/Center (Primary Care)
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 975-0175
JEFFREY W BOOK II
Case Manager/Care Coordinator
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 851-6493
KENDRA HINES
Case Manager/Care Coordinator
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 851-6493
BRITTANI MARIA SNIDER
Counselor (Addiction (Substance Use Disorder))
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 270-3286
EDDIE JUSTIN HALL QMHS
Case Manager/Care Coordinator
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 503-8419
JULIE A BAKER
Case Manager/Care Coordinator
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 412-2748
HEATHER COOPER THERAPIST
Counselor (Professional)
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 270-3286
CARA JO GILLISPIE CDCA
Social Worker
220 N PLAZA BLVD
CHILLICOTHE, OH 45601
Ross County (740) 851-6493

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 Sue Maughmer's NPI number?

The NPI number for Sue Maughmer is 1174061022. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Sue Maughmer located?

Sue Maughmer practices at 220 N Plaza Blvd, Chillicothe, OH 45601. The listed phone number is (740) 973-0631.

What is Sue Maughmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sue Maughmer enrolled in Medicare?

Yes. Sue Maughmer 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 Sue Maughmer accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Sue Maughmer 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 Sue Maughmer was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.