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SUSAN FREE
NPI 1295494326
Nurse Practitioner - Family in South Bend, IN

Active since December 16, 2021PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
4401 W WESTERN AVE STE C, SOUTH BEND, IN 46619(574) 725-7006(574) 807-9614 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Free NPPES

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

SUSAN FREE (NPI 1295494326) is an individual family provider in South Bend, Indiana, licensed in Indiana (28216649A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Daviess Community Hospital, and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1295494326
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN FREE
Location Address4401 W WESTERN AVE STE CSouth Bend, IN 46619-2645
Mailing AddressPo Box 708760Sandy, UT 84070-8717 · (801) 352-9500 · Fax (801) 352-7976
Phone(574) 725-7006
Fax(574) 807-9614
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 16, 2021
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1295494326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28216649A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28216649A (IN)
4401 W WESTERN AVE STE C, South Bend, IN 46619
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 East BlvdElkhart, IN 46514-2483 · Phone (574) 389-7393 · Fax (574) 389-4890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Free 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 ID9133514748
PECOS Enrollment IDI20220317001922
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services90 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46619 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Improvement Activities40
Cost57.57

Other Providers at the Same Location NPPES 4

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

MRS. GLENDORA G POMPEY M.D.
Family Medicine
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
DONNA LYNN WOODWARD NP-C
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
MRS. LEE ANN MATSON NURSE PRACTITIONER
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
AUDREY S GODDARD LMHC
Counselor (Mental Health)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006

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 Free's NPI number?

The NPI number for Susan Free is 1295494326. It was assigned to this individual provider in the NPPES registry on December 16, 2021.

Where is Susan Free located?

Susan Free practices at 4401 W Western Ave Ste C, South Bend, IN 46619. The listed phone number is (574) 725-7006.

What is Susan Free's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Free enrolled in Medicare?

Yes. Susan Free 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.

What insurance does Susan Free accept?

Health plans from CareSource list Susan Free 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.

Is Susan Free affiliated with any hospitals?

According to CMS data, Susan Free is affiliated with Daviess Community Hospital, Deaconess Hospital Inc and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Susan Free was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.