SUSAN LE
NPI 1366336836
Nurse Practitioner - Family in Lodi, CA
About Susan Le NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN LE (NPI 1366336836) is an individual family provider in Lodi, California, licensed in California (95035271) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Susan Le 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LODI, CA 95242
LODI, CA 95242
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 Le's NPI number?
The NPI number for Susan Le is 1366336836. It was assigned to this individual provider in the NPPES registry on June 7, 2025.
Where is Susan Le located?
Susan Le practices at 621 S Ham Ln Ste A, Lodi, CA 95242. The listed phone number is (209) 334-8514.
What is Susan Le's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Le enrolled in Medicare?
Yes. Susan Le 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 Susan Le was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Susan Le · NPI 1366336836
Family physician in Lodi, California. Individual provider, active in the CMS NPPES registry since June 7, 2025.
## Identity
- **NPI:** 1366336836 (Entity type: Individual)
- **Enumerated:** June 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95035271 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 S HAM LN STE A, Lodi, CA 95242-3533
- **Phone:** (209) 334-8514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366336836) · Data from the CMS NPPES public registry.