SUSAN M HALLI-DEMETER NP
NPI 1205847407
Nurse Practitioner in Scottsdale, AZ

Q: What is Susan Halli-demeter's NPI number?

The NPI number for Susan Halli-demeter is 1205847407. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Susan M Halli Np.

Q: What is Susan Halli-demeter's specialty?

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

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment

78.58/100

CMS Quality Rating

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2020, May 25, 2018 (2 updates tracked since 2018).

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About Susan M Halli-demeter Np NPPES

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

SUSAN M HALLI-DEMETER NP (NPI 1205847407) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (AP2827) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205847407

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN M HALLI-DEMETERCredential: NP

Location Address13400 E SHEA BLVDScottsdale, AZ 85259

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5404 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 11, 2006

Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2020

✔ NPI 1205847407 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

Licenses✔ Licensed in AZ · AP2827✔ Licensed in AZ · RN148002

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 · FamilyTaxonomy 363LF0000X · License 209-004636 (IL)

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Other Names 1

Former Name (1)Susan M Halli Np

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 M Halli-demeter 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 ID2567363237

PECOS Enrollment IDI20070920000295

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.

248 services211 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.

90 services83 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.

38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

78.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.05

Promoting Interoperability

100

Improvement Activities

Cost

59.56

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.

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