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DR. SUSAN J HULSEMANN MD
NPI 1356348718
Family Medicine in Monroe, MI

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
1086 N MONROE ST, MONROE, MI 48162(734) 244-5380(734) 244-5795 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Mar 4, 2020, Feb 6, 2020 (3 updates tracked since 2020).

About Dr. Susan J Hulsemann Md NPPES

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

DR. SUSAN J HULSEMANN MD (NPI 1356348718) is an individual family medicine provider in Monroe, Michigan, licensed in South Carolina (86734) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1356348718
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN J HULSEMANNCredential: MD
Location Address1086 N MONROE STMonroe, MI 48162-3193
Mailing Address1086 N Monroe StMonroe, MI 48162-3193 · (734) 244-5380 · Fax (734) 244-5795
Phone(734) 244-5380
Fax(734) 244-5795
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 30, 2005
Last NPPES UpdateApril 20, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1356348718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 86734✔ Licensed in MI · 4301069503✔ Licensed in OH · 35-078484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1086 N MONROE ST, Monroe, MI 48162
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Secondary Practice Location 1

Location 1122 Powell DrLexington, SC 29072-9203 · Phone (803) 957-8400 · Fax (803) 957-1919

Other Identifiers 3

Medicaid1356348718MI
Medicaid5908313NC
Medicaid2225032OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Dr. Susan J Hulsemann Md 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 ID4082673629
PECOS Enrollment IDI20210917001674
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 5

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.
23 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services19 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services21 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.
15 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48162 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. EARL MAC MARSHALL JR. MD
Family Medicine
1086 N MONROE ST
MONROE, MI 48162
Monroe County (734) 244-5380
SIDNEY J SMITH MD PC
Obstetrics & Gynecology
1086 N MONROE ST
MONROE, MI 48162
Monroe County (734) 457-3340
DR. NIVHAN ARUMUGASAMY MD, MPH
Pediatrics
1086 N MONROE ST
MONROE, MI 48162
Monroe County (734) 244-5380

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 Hulsemann's NPI number?

The NPI number for Susan Hulsemann is 1356348718. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Susan Hulsemann located?

Susan Hulsemann practices at 1086 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 244-5380.

What is Susan Hulsemann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Hulsemann enrolled in Medicare?

Yes. Susan Hulsemann 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 Hulsemann accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Susan Hulsemann 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 Hulsemann affiliated with any hospitals?

According to CMS data, Susan Hulsemann is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Hulsemann was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.