SUZANNE E ELLISON MD
NPI 1285620211
Family Medicine in Fredericksburg, TX

Active since September 26, 2005Opted out of Medicare · through Jan 1, 2028
200 W WINDCREST ST, FREDERICKSBURG, TX 78624(830) 997-0330(830) 997-7601 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suzanne E Ellison Md NPPES

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

SUZANNE E ELLISON MD (NPI 1285620211) is an individual family medicine provider in Fredericksburg, Texas, licensed in Texas (F6604) and active in the NPI registry since September 2005. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285620211
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUZANNE E ELLISONCredential: MD
Location Address200 W WINDCREST STFredericksburg, TX 78624-4408
Mailing Address200 W Windcrest StFredericksburg, TX 78624-4408 · (830) 997-0330 · Fax (830) 997-7601
Fax(830) 997-7601
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMarch 22, 2011
NPI 1285620211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · F6604
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 W WINDCREST ST, Fredericksburg, TX 78624

Other Names 1

Former Name (1)Suzanne Ellison Md Pa Md

Other Identifiers 5

Other8AQ211TX · Bcbstx
Medicare UPINB22518
OtherP00628708Medicare Rr
Medicaid097503903TX
Medicare PIN8F5709TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Suzanne E Ellison Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
200 W WINDCREST ST
FREDERICKSBURG, TX 78624
Family Medicine
200 W WINDCREST ST
FREDERICKSBURG, TX 78624
Family Medicine
200 W WINDCREST ST
FREDERICKSBURG, TX 78624
Family Medicine
200 W WINDCREST ST
FREDERICKSBURG, TX 78624
Family Medicine
200 W WINDCREST ST
FREDERICKSBURG, TX 78624
Nurse Practitioner (Family)
200 W WINDCREST ST, CORNERSTONE CLINIC
FREDERICKSBURG, TX 78624

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 Suzanne Ellison's NPI number?

The NPI number for Suzanne Ellison is 1285620211. It was assigned to this individual provider in the NPPES registry on September 26, 2005. The provider is also known as Suzanne Ellison MD PA MD.

Where is Suzanne Ellison located?

Suzanne Ellison practices at 200 W Windcrest St, Fredericksburg, TX 78624. The listed phone number is (830) 997-0330.

What is Suzanne Ellison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suzanne Ellison enrolled in Medicare?

No. Suzanne Ellison has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Suzanne Ellison was last updated on March 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.