DR. SUSAN SCHROEDER M.D.
NPI 1366410920
Dermatology - Procedural Dermatology in Colorado Springs, CO

Q: What is Susan Schroeder's NPI number?

The NPI number for Susan Schroeder is 1366410920. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Dr. Susan Schroeder Ellis M.D..

Q: What is Susan Schroeder's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: Is Susan Schroeder enrolled in Medicare?

No. Susan Schroeder has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Schroeder was last updated on August 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 09, 2006Opted out of Medicare · through Jul 1, 2028

1259 LAKE PLAZA DR STE 270, COLORADO SPRINGS, CO 80906(719) 421-7132(719) 639-7903 Get Directions Write a Review

NPPES record last updated: August 1, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Dr. Susan Schroeder M.d. NPPES

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

DR. SUSAN SCHROEDER M.D. (NPI 1366410920) is an individual procedural dermatology provider in Colorado Springs, Colorado, licensed in New Jersey (25MA08824100) and active in the NPI registry since March 2006. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1366410920

Entity TypeIndividualFemale

Primary Taxonomy207NS0135X

Provider Legal NameDR. SUSAN SCHROEDERCredential: M.D.

Location Address1259 LAKE PLAZA DR STE 270Colorado Springs, CO 80906-3560

Mailing Address1259 Lake Plaza Dr Ste 270Colorado Springs, CO 80906-3560 · (719) 421-7132

Phone(719) 421-7132

Fax(719) 639-7903

Sole ProprietorYes

Enumeration DateMarch 9, 2006

Last NPPES UpdateAugust 1, 2020

NPPES CertifiedAugust 1, 2020

✔ NPI 1366410920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in NJ · 25MA08824100

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedSpecialistTaxonomy 174400000X · License 40371 (CO)

1259 LAKE PLAZA DR STE 270, Colorado Springs, CO 80906

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Other Names 1

Former Name (1)Dr. Susan Schroeder Ellis M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan Schroeder M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2020 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2020

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

SHANNON FISHER NP

Nurse Practitioner (Family)

1259 LAKE PLAZA DR STE 270
COLORADO SPRINGS, CO 80906

El Paso County (719) 653-7776

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 Schroeder's NPI number?

The NPI number for Susan Schroeder is 1366410920. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Dr. Susan Schroeder Ellis M.D..

Where is Susan Schroeder located?

Susan Schroeder practices at 1259 Lake Plaza Dr Ste 270, Colorado Springs, CO 80906. The listed phone number is (719) 421-7132.

What is Susan Schroeder's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Susan Schroeder enrolled in Medicare?

No. Susan Schroeder has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Schroeder was last updated on August 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.