SUSAN L LEPHART APRN
NPI 1194976647
Nurse Practitioner in The Villages, FL

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
93.88/100
CMS Quality Rating
1400 N US HIGHWAY 441, SUITE 810, THE VILLAGES, FL 32159(352) 674-8700(352) 674-8714 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan L Lephart Aprn NPPES

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

SUSAN L LEPHART APRN (NPI 1194976647) is an individual nurse practitioner in The Villages, Florida, licensed in Florida (APRN9429352) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in The Villages, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1194976647
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN L LEPHARTCredential: APRN
Location Address1400 N US HIGHWAY 441, SUITE 810The Villages, FL 32159-8975
Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919
Fax(352) 674-8714
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 2, 2008
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1194976647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in FL · APRN9429352 Licensed in OH · COA10205NP
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.
1400 N US HIGHWAY 441, The Villages, FL 32159

Secondary Practice Location 1

Location 12955 Brownwood BlvdThe Villages, FL 32163-2039 · Phone (352) 674-8714

Other Identifiers 1

OtherARNP9429352FL · Florida Medical License

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 L Lephart 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 ID3779630264
PECOS Enrollment IDI20160525000196
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
651 services371 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
306 services165 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
196 services150 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
139 services83 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
116 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

93.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers25 claims316 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers25 claims720 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers90 claims385 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers25 claims46 services$1.13 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
12 suppliers37 claims5,300 services$7.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers499 claims500 services$189.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1400 N US HIGHWAY 441, BLDG 920 STE 922
THE VILLAGES, FL 32159
Internal Medicine (Hematology & Oncology)
1400 N US HIGHWAY 441, SUITE 540
LADY LAKE, FL 32159
Internal Medicine (Hematology & Oncology)
1400 N US HIGHWAY 441, SUITE 552
LADY LAKE, FL 32159
Nurse Practitioner
1400 N US HIGHWAY 441, SUITE 552
LADY LAKE, FL 32159
Internal Medicine (Hematology & Oncology)
1400 N US HIGHWAY 441, BUILDING 920
LADY LAKE, FL 32159
Internal Medicine
1400 N US HIGHWAY 441, BLDG 900 SUITE 902
THE VILLAGES, FL 32159
Orthopaedic Surgery
1400 N US HIGHWAY 441, SUITE 810
THE VILLAGES, FL 32159
Specialist
1400 N US HIGHWAY 441, SHARON MORSE MEDICAL OFFICE BUILDING, SUITE 552
THE VILLAGES, FL 32159

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 Lephart's NPI number?

The NPI number for Susan Lephart is 1194976647. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Susan Lephart located?

Susan Lephart practices at 1400 N Us Highway 441 Suite 810, The Villages, FL 32159. The listed phone number is (352) 674-8700.

What is Susan Lephart's specialty?

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

Is Susan Lephart enrolled in Medicare?

Yes. Susan Lephart 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.

When was this NPI record last updated?

The NPPES record for Susan Lephart was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.