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SUSAN ALICE COLBURN ANP-C
NPI 1356598890
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since August 27, 2008PECOS Enrolled
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 747-5800 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Alice Colburn Anp-c NPPES

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

SUSAN ALICE COLBURN ANP-C (NPI 1356598890) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (125713) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1356598890
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN ALICE COLBURNCredential: ANP-C
Location Address5000 MANCHESTER AVESaint Louis, MO 63110-2012
Mailing Address16 N Barat AveSaint Louis, MO 63135-2116 · (314) 521-0177
Phone(314) 747-5800
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 27, 2008
✔ NPI 1356598890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 125713
5000 MANCHESTER AVE, Saint Louis, MO 63110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Alice Colburn Anp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921255381
PECOS Enrollment IDI20260505003446
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Colburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialized Wound Management LLC
15 mi
Adult Health
14805 N OUTER 40 RD, SUITE 320
Chesterfield, MO 63017
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 16 clinicians in this Medicare group
NPI 1962430157 (888) 811-4677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 17

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

MRS. DARLA J FOTT PTA
Physical Therapy Assistant
5000 MANCHESTER AVE
ST LOUIS, MO 63110
St. Louis City (314) 747-5800
CHARLES MASSIE LPC, LCPC
Counselor (Professional)
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (618) 877-4420
KRISTA SHUMATE
Physical Therapy Assistant
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5845
MR. HENRY M DUHADWAY RN, MSN, ANP
Nurse Practitioner (Adult Health)
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5800
ERIN MCKEON FNP-C
Nurse Practitioner (Family)
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5800
KAREN SHOCKLEY MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5800
MRS. BARBARA DRUMM BECKER OTR/L
Occupational Therapist (Hand)
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5845
DEE JOHNSON PTA
Physical Therapy Assistant
5000 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 747-5845

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 Colburn's NPI number?

The NPI number for Susan Colburn is 1356598890. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Susan Colburn located?

Susan Colburn practices at 5000 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 747-5800.

What is Susan Colburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Colburn enrolled in Medicare?

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

Which organization bills Medicare for Susan Colburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Colburn reassigns Medicare benefits to Specialized Wound Management LLC (Chesterfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Colburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Colburn was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.