MRS. SUZANNE MICHELLE FERNBACH PA-C
NPI 1366539652
Physician Assistant in Crittenden, KY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
405 VIOLET RD, CRITTENDEN, KY 41030(859) 903-0268(859) 428-1444 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, May 17, 2022, Mar 3, 2016 (3 updates tracked since 2016).

About Mrs. Suzanne Michelle Fernbach Pa-c NPPES

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

MRS. SUZANNE MICHELLE FERNBACH PA-C (NPI 1366539652) is an individual physician assistant in Crittenden, Kentucky, licensed in Kentucky (PA646) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Greendale.

NPPES Registry Identity

NPI1366539652
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SUZANNE MICHELLE FERNBACHCredential: PA-C
Location Address405 VIOLET RDCrittenden, KY 41030-8956
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 903-0268 · Fax (889) 428-1444
Fax(859) 428-1444
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2001
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 26, 20223 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1366539652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA646 Licensed in IN · 10002914A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA646 (KY)
405 VIOLET RD, Crittenden, KY 41030

Other Names 1

Former Name (1)Suzanne M Bird Pa-c

Secondary Practice Location 1

Location 11640 Flossie DrGreendale, IN 47025-8424 · Phone (812) 496-3285 · Fax (812) 537-0400

Other Identifiers 1

Medicaid95002804KY

Accepted 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

Mrs. Suzanne Michelle Fernbach Pa-c 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 ID5092610535
PECOS Enrollment IDI20090409000039
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 10

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 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.
122 services117 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.
80 services78 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
45 services45 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
38 services19 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
28 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41030 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
100%22 patients5/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Emergency Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030

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 Suzanne Fernbach's NPI number?

The NPI number for Suzanne Fernbach is 1366539652. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Suzanne M Bird Pa-C.

Where is Suzanne Fernbach located?

Suzanne Fernbach practices at 405 Violet Rd, Crittenden, KY 41030. The listed phone number is (859) 903-0268.

What is Suzanne Fernbach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Suzanne Fernbach enrolled in Medicare?

Yes. Suzanne Fernbach 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 Suzanne Fernbach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Suzanne Fernbach 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 Suzanne Fernbach affiliated with any hospitals?

According to CMS data, Suzanne Fernbach is affiliated with St Elizabeth Edgewood and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Suzanne Fernbach was last updated on August 26, 2022. 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.