SUSAN NYSTROM D.O.
NPI 1285894311
Hospitalist in Oshkosh, WI

Active since June 12, 2008PECOS Enrolled
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2021, Jul 29, 2019 (2 updates tracked since 2019).

About Susan Nystrom D.o. NPPES

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

SUSAN NYSTROM D.O. (NPI 1285894311) is an individual hospitalist provider in Oshkosh, Wisconsin, licensed in Wisconsin (68879) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285894311
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSUSAN NYSTROMCredential: D.O.
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorYes
Enumeration DateJune 12, 2008
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
NPI 1285894311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 68879
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 68879-21 (WI), 5101017725 (MI)
855 N WESTHAVEN DR, Oshkosh, WI 54904

Other Identifiers 1

Medicaid100075784WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Nystrom D.o. 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 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
75%51 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pharmacist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Physician Assistant
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Internal Medicine (Hematology & Oncology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Physical Therapist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Registered Nurse
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 Nystrom's NPI number?

The NPI number for Susan Nystrom is 1285894311. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Susan Nystrom located?

Susan Nystrom practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Susan Nystrom's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Susan Nystrom enrolled in Medicare?

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

What insurance does Susan Nystrom accept?

Health plans from CareSource (Common Ground Healthcare) list Susan Nystrom 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 Nystrom was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.