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SUSSAN LEE GOLDSWORTHY
NPI 1346843182
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since November 16, 2020PECOS Enrolled
6811 BALLENGER RUN BLVD, FREDERICK, MD 21703(478) 225-7590 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2023, Dec 22, 2022, Nov 16, 2020 (3 updates tracked since 2020).

About Sussan Lee Goldsworthy NPPES

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

SUSSAN LEE GOLDSWORTHY (NPI 1346843182) is an individual psychiatric/mental health provider in Frederick, Maryland, licensed in Maryland (257763) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346843182
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSSAN LEE GOLDSWORTHY
Location Address6811 BALLENGER RUN BLVDFrederick, MD 21703
Mailing Address4175 S. Alamo AveTucson, AZ 85707 · (520) 228-4357
Phone(478) 225-7590
Sole ProprietorYes
Enumeration DateNovember 16, 2020
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1346843182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · 257763
6811 BALLENGER RUN BLVD, Frederick, MD 21703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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)

Sussan Lee Goldsworthy 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 21703 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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 Sussan Goldsworthy's NPI number?

The NPI number for Sussan Goldsworthy is 1346843182. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Sussan Goldsworthy located?

Sussan Goldsworthy practices at 6811 Ballenger Run Blvd, Frederick, MD 21703. The listed phone number is (478) 225-7590.

What is Sussan Goldsworthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sussan Goldsworthy enrolled in Medicare?

Yes. Sussan Goldsworthy is registered in the Medicare PECOS enrollment system.

What insurance does Sussan Goldsworthy accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Sussan Goldsworthy 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 Sussan Goldsworthy was last updated on July 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.