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MS. SUSAN A DISTASIO APRN
NPI 1316975469
Nurse Practitioner in Lebanon, NH

Active since June 29, 2006PECOS Enrolled
76.01/100
CMS Quality Rating
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - PAIN MEDICINE/ANESTHESIOLOGY, LEBANON, NH 03756(603) 650-6039 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan A Distasio Aprn NPPES

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

MS. SUSAN A DISTASIO APRN (NPI 1316975469) is an individual nurse practitioner in Lebanon, New Hampshire, licensed in New Hampshire (064077-23) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316975469
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SUSAN A DISTASIOCredential: APRN
Location AddressONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - PAIN MEDICINE/ANESTHESIOLOGYLebanon, NH 03756-0001
Mailing AddressOne Medical Center Drive, Dartmouth Hitchcock - Pain Medicine/anesthesiologyLebanon, NH 03756-0001 · (603) 650-6039
Phone(603) 650-6039
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 9, 2017
✔ NPI 1316975469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NH · 064077-23
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.
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 001896 (CT)
ONE MEDICAL CENTER DRIVE, Lebanon, NH 03756
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Other Identifiers 3

Medicare PIN500000206CT
Medicare UPINS67612
Medicaid4196368CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan A Distasio Aprn 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

DR. MICHAEL W WINTER MD
Internal Medicine (Gastroenterology)
ONE MEDICAL CENTER DRIVE, GASTROENTEROLOGY
LEBANON, NH 03756
Grafton County (603) 650-5261
DR. ERIK J. KOBYLARZ MD, PHD
Psychiatry & Neurology (Clinical Neurophysiology)
ONE MEDICAL CENTER DRIVE, DEPT. OF NEUROLOGY, DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
Grafton County (603) 653-6118
ALISHA ADAMS POWELL PA-C
Physician Assistant (Surgical)
ONE MEDICAL CENTER DRIVE, CARDIAC SURGERY
LEBANON, NH 03756
Grafton County (603) 650-7390
DR. GRANT G. MONCRIEF PSY.D.
Psychologist
ONE MEDICAL CENTER DRIVE
LEBANON, NH 03756
Grafton County (203) 634-6615
MS. STEPHANIE L SILEO APRN
Nurse Practitioner (Women's Health)
ONE MEDICAL CENTER DRIVE, OBSTETRICS AND GYNECOLOGY
LEBANON, NH 03756
Grafton County (603) 653-9300
KRISTIN L GUIDICE APRN
Nurse Practitioner
ONE MEDICAL CENTER DRIVE
LEBANON, NH 03756
Grafton County (603) 650-5109
MR. THOMAS REYES IV CRNA
Nurse Anesthetist, Certified Registered
ONE MEDICAL CENTER DRIVE, ANESTHESIOLOGY
LEBANON, NH 03756
Grafton County (603) 650-5922
ALEXANDRA HARRIS WOOLLEY CNM
Advanced Practice Midwife
ONE MEDICAL CENTER DRIVE, OBSTETRICS & GYNECOLOGY
LEBANON, NH 03756
Grafton County (603) 653-9300

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 Distasio's NPI number?

The NPI number for Susan Distasio is 1316975469. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Susan Distasio located?

Susan Distasio practices at One Medical Center Drive Dartmouth Hitchcock - Pain Medicine/Anesthesiology, Lebanon, NH 03756. The listed phone number is (603) 650-6039.

What is Susan Distasio's specialty?

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

Is Susan Distasio enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Distasio was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.