SUSAN MARY CHEN APNP
NPI 1265951651
Nurse Practitioner - Family in Milwaukee, WI
About Susan Mary Chen Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MARY CHEN APNP (NPI 1265951651) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (8135-33) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Mary Chen Apnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
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 Chen's NPI number?
The NPI number for Susan Chen is 1265951651. It was assigned to this individual provider in the NPPES registry on September 17, 2017.
Where is Susan Chen located?
Susan Chen practices at 210 W Capitol Dr, Milwaukee, WI 53212. The listed phone number is (414) 727-6320.
What is Susan Chen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Chen enrolled in Medicare?
Yes. Susan Chen 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.
Which organization bills Medicare for Susan Chen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Chen reassigns Medicare benefits to Outreach Community Health Centers, Inc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Chen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 3 other insurers list Susan Chen 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 Susan Chen was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Susan Mary Chen, APNP · NPI 1265951651
Family physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since September 17, 2017.
## Identity
- **NPI:** 1265951651 (Entity type: Individual)
- **Enumerated:** September 17, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8135-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 W CAPITOL DR, Milwaukee, WI 53212-1123
- **Phone:** (414) 727-6320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Outreach Community Health Centers, Inc (NPI 1710032669, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1265951651) · Data from the CMS NPPES public registry.