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SUZANNA M CARLTON FNP
NPI 1336695584
Nurse Practitioner - Family in Shelbyville, IN

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
2451 INTELLIPLEX DR STE 215, SHELBYVILLE, IN 46176(317) 421-1917(317) 825-5303 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Feb 14, 2023, Aug 28, 2016 (3 updates tracked since 2016).

About Suzanna M Carlton Fnp NPPES

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

SUZANNA M CARLTON FNP (NPI 1336695584) is an individual family provider in Shelbyville, Indiana, licensed in Indiana (71006547A) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336695584
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZANNA M CARLTONCredential: FNP
Location Address2451 INTELLIPLEX DR STE 215Shelbyville, IN 46176-8580
Mailing Address2451 Intelliplex DrShelbyville, IN 46176-8580 · (317) 392-3211
Phone(317) 421-1917
Fax(317) 825-5303
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2016
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1336695584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71006547A✔ Licensed in IN · 28164801A
2451 INTELLIPLEX DR STE 215, Shelbyville, IN 46176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Suzanna M Carlton Fnp 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 ID9436375839
PECOS Enrollment IDI20160928000140
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services121 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
55 services54 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
24 services24 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN
OwnershipGovernment - Local
CMS Certification Number151304
Location1300 N Main StRushville, IN 46173 · Rush County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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.

Other Providers at the Same Location NPPES 3

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

ALISON SIMO MSN, RN
Registered Nurse (Diabetes Educator)
2451 INTELLIPLEX DR STE 215
SHELBYVILLE, IN 46176
Shelby County (812) 371-0579
SHEA ROBERT IDLEWINE FNP-C
Nurse Practitioner (Family)
2451 INTELLIPLEX DR STE 215
SHELBYVILLE, IN 46176
Shelby County (317) 421-1917
MRS. DEBRA LYNN MATHIES ANP-BC
Nurse Practitioner
2451 INTELLIPLEX DR STE 215
SHELBYVILLE, IN 46176
Shelby County (317) 421-1917

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 Suzanna Carlton's NPI number?

The NPI number for Suzanna Carlton is 1336695584. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Suzanna Carlton located?

Suzanna Carlton practices at 2451 Intelliplex Dr Ste 215, Shelbyville, IN 46176. The listed phone number is (317) 421-1917.

What is Suzanna Carlton's specialty?

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

Is Suzanna Carlton enrolled in Medicare?

Yes. Suzanna Carlton 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 Suzanna Carlton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Suzanna Carlton 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 Suzanna Carlton affiliated with any hospitals?

According to CMS data, Suzanna Carlton is affiliated with Major Hospital and Rush Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Suzanna Carlton was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.