SUSAN L MASTENBROOK NP
NPI 1205194248
Nurse Practitioner - Family in Kalamazoo, MI

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1521 GULL RD, KALAMAZOO, MI 49048(269) 226-7000 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan L Mastenbrook Np NPPES

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

SUSAN L MASTENBROOK NP (NPI 1205194248) is an individual family provider in Kalamazoo, Michigan, licensed in Michigan (4704207644) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205194248
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN L MASTENBROOKCredential: NP
Location Address1521 GULL RDKalamazoo, MI 49048-1640
Mailing Address5943 Stadium DrKalamazoo, MI 49009-3016
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1205194248 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 MI · 4704207644
1521 GULL RD, Kalamazoo, MI 49048

Accepted 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

Susan L Mastenbrook Np 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 ID3476715376
PECOS Enrollment IDI20120509000543
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.

Hospital Affiliations CMS Care Compare

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.94
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.

Social Worker
1521 GULL RD
KALAMAZOO, MI 49048
Occupational Therapist
1521 GULL RD
KALAMAZOO, MI 49048
Internal Medicine (Hospice and Palliative Medicine)
1521 GULL RD, SUITE 173
KALAMAZOO, MI 49048
Psychiatry & Neurology (Psychiatry)
1521 GULL RD
KALAMAZOO, MI 49048
Counselor (Professional)
1521 GULL RD
KALAMAZOO, MI 49048
Physician Assistant
1521 GULL RD
KALAMAZOO, MI 49048
Social Worker (Clinical)
1521 GULL RD
KALAMAZOO, MI 49048
Pharmacist
1521 GULL RD, INPATIENT PHARMACY
KALAMAZOO, MI 49048

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 Mastenbrook's NPI number?

The NPI number for Susan Mastenbrook is 1205194248. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Susan Mastenbrook located?

Susan Mastenbrook practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-7000.

What is Susan Mastenbrook's specialty?

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

Is Susan Mastenbrook enrolled in Medicare?

Yes. Susan Mastenbrook 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 Susan Mastenbrook accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Susan Mastenbrook 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.

Is Susan Mastenbrook affiliated with any hospitals?

According to CMS data, Susan Mastenbrook is affiliated with Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Mastenbrook was last updated on December 27, 2022. 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.