1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Nurse Practitioner
  6. NPI Profile

CAROLYN MARIE SUSCA APRN NP-C
NPI 1205593951
Nurse Practitioner - Family in San Antonio, TX

Active since November 17, 2021PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229(210) 614-1234(210) 614-0952 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2021, Nov 17, 2021 (2 updates tracked since 2021).

About Carolyn Marie Susca Aprn Np-c NPPES

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

CAROLYN MARIE SUSCA APRN NP-C (NPI 1205593951) is an individual family provider in San Antonio, Texas, licensed in Texas (1058056) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205593951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN MARIE SUSCACredential: APRN NP-C
Location Address5223 HAMILTON WOLFE RDSan Antonio, TX 78229-4463
Mailing Address8415 Datapoint Dr Ste 700San Antonio, TX 78229-3327 · (210) 614-1234 · Fax (210) 614-0952
Phone(210) 614-1234
Fax(210) 614-0952
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 17, 2021
Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1205593951 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 TX · 1058056
5223 HAMILTON WOLFE RD, San Antonio, TX 78229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Carolyn Marie Susca Aprn Np-c 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 ID8426449182
PECOS Enrollment IDI20220107000058
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 3

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.
461 services284 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services46 patients
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.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAREMA J SINGSON M.D.
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
SUNIL K DWIVEDI M.D.
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
HEATHER ARMSTRONG MSN, APRN, FNP-C
Nurse Practitioner
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (214) 614-1234
DR. CHIRAG M PATEL M.D.
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
DR. PATRICK A MASTERS M.D.
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
PATRICIA ROSE GARZA PA-C
Physician Assistant
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
GCSA ANESTHESIA PLLC
Anesthesiology
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234
DR. JORGE MIGUEL CAVAZOS M.D.
Internal Medicine (Gastroenterology)
5223 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-1234

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 Carolyn Susca's NPI number?

The NPI number for Carolyn Susca is 1205593951. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Carolyn Susca located?

Carolyn Susca practices at 5223 Hamilton Wolfe Rd, San Antonio, TX 78229. The listed phone number is (210) 614-1234.

What is Carolyn Susca's specialty?

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

Is Carolyn Susca enrolled in Medicare?

Yes. Carolyn Susca 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 Carolyn Susca accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Carolyn Susca 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 Carolyn Susca was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.