MRS. SUSAN HEATHER JERBY AGNP-C
NPI 1215561097
Nurse Practitioner in Matthews, NC

Q: What is Susan Jerby's NPI number?

The NPI number for Susan Jerby is 1215561097. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Q: What is Susan Jerby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Jerby was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 02, 2020PECOS Enrolled

3049 SENNA DR, MATTHEWS, NC 28105(980) 339-5155(980) 216-8522 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 30, 2020, Mar 2, 2020 (2 updates tracked since 2020).

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About Mrs. Susan Heather Jerby Agnp-c NPPES

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

MRS. SUSAN HEATHER JERBY AGNP-C (NPI 1215561097) is an individual nurse practitioner in Matthews, North Carolina, licensed in North Carolina (89912) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215561097

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. SUSAN HEATHER JERBYCredential: AGNP-C

Location Address3049 SENNA DRMatthews, NC 28105-6727

Mailing Address3049 Senna DrMatthews, NC 28105-6727 · (980) 339-5155 · Fax (980) 216-8522

Phone(980) 339-5155

Fax(980) 216-8522

Sole ProprietorNo

Enumeration DateMarch 2, 2020

Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1215561097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 89912

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.

3049 SENNA DR, Matthews, NC 28105

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Heather Jerby Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 3

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

VICTORIA SOMERVAIL HOLMES MOORE

Physician Assistant

3049 SENNA DR
MATTHEWS, NC 28105

Mecklenburg County (336) 467-3337

CAROLINA COLON & RECTAL SPECIALISTS PA

Colon & Rectal Surgery

3049 SENNA DR
MATTHEWS, NC 28105

Mecklenburg County (980) 339-5155

LEGACY HEALTH PA

Clinic/Center (Health Service)

3049 SENNA DR
MATTHEWS, NC 28105

Mecklenburg County (980) 339-5155

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 Jerby's NPI number?

The NPI number for Susan Jerby is 1215561097. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Susan Jerby located?

Susan Jerby practices at 3049 Senna Dr, Matthews, NC 28105. The listed phone number is (980) 339-5155.

What is Susan Jerby's specialty?

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

Is Susan Jerby enrolled in Medicare?

Yes. Susan Jerby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Jerby was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.