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SUSANN MISCHKE NP
NPI 1366067449
Nurse Practitioner - Acute Care in Santa Rosa, CA

Active since June 14, 2020PECOS EnrolledAccepts Medicare Assignment
1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 525-5300 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2021, Jun 14, 2020 (2 updates tracked since 2020).

About Susann Mischke Np NPPES

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

SUSANN MISCHKE NP (NPI 1366067449) is an individual acute care provider in Santa Rosa, California, licensed in California (95014135) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366067449
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSUSANN MISCHKECredential: NP
Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405-4801
Mailing Address3030 Midway DrSanta Rosa, CA 95405-5170 · (707) 547-7999
Phone(707) 525-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2020
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1366067449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95014135
1165 MONTGOMERY DR, Santa Rosa, CA 95405
Open in Google Maps ↗

Other Names 1

Former Name (1)Susann Mischke-slimmer

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

Susann Mischke Np 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 ID547684631
PECOS Enrollment IDI20200722001765
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
45 services45 patients
Heart rhythm recording of continous external ekg over 8-15 days 93246
A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.
34 services33 patients
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 services21 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 20

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

DR. RIDGELY OLIVER MULLER M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MRS. SONOE M OFT OTR/L
Occupational Therapist (Physical Rehabilitation)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
BETHANY HOFFMAN
Registered Nurse (Medical-Surgical)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5300
KATE ESTHER BLACK MD
Anesthesiology (Pain Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210
SAAD SULTAN PHARMD
Pharmacist
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-5380
CHASE DENNIS EMERGENCY MEDICAL GROUP INC
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (925) 924-1600
JAMES JOHN MC KEITH M.D.
Emergency Medicine
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Sonoma County (707) 525-5207
MATTHEW BRADY THOMAS M.D.
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 546-3210

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 Susann Mischke's NPI number?

The NPI number for Susann Mischke is 1366067449. It was assigned to this individual provider in the NPPES registry on June 14, 2020. The provider is also known as Susann Mischke-Slimmer.

Where is Susann Mischke located?

Susann Mischke practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 525-5300.

What is Susann Mischke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Susann Mischke enrolled in Medicare?

Yes. Susann Mischke 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.

When was this NPI record last updated?

The NPPES record for Susann Mischke was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.