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SUSAN M. CARBAJAL NP
NPI 1376138859
Nurse Practitioner - Pediatrics in Pascagoula, MS

Active since March 05, 2021PECOS Enrolled
2809 DENNY AVE, PASCAGOULA, MS 39581(228) 809-5419(228) 809-5076 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2022, Jan 20, 2022, Mar 5, 2021 (3 updates tracked since 2021).

About Susan M. Carbajal Np NPPES

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

SUSAN M. CARBAJAL NP (NPI 1376138859) is an individual pediatrics provider in Pascagoula, Mississippi, licensed in Mississippi (904490) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376138859
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN M. CARBAJALCredential: NP
Location Address2809 DENNY AVEPascagoula, MS 39581-5301
Mailing Address2101 Highway 90Gautier, MS 39553-5340 · (228) 497-7576 · Fax (228) 497-8869
Phone(228) 809-5419
Fax(228) 809-5076
Sole ProprietorNo
Enumeration DateMarch 5, 2021
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1376138859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MS · 904490
2809 DENNY AVE, Pascagoula, MS 39581
Open in Google Maps ↗

Other Identifiers 1

Medicaid00072750MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M. Carbajal Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Susan Carbajal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Singing River Health System
0.1 mi
Internal Medicine
2809 DENNY AVE
Pascagoula, MS 39581
  • Reassigned Medicare billing, Mississippi enrollment
  • 450 clinicians in this Medicare group
NPI 1033238456 (228) 809-5000
Singing River Gulfport
34 mi
Multi-Specialty
15190 COMMUNITY RD
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 298 clinicians in this Medicare group
NPI 1861010159 (228) 575-7975

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 39581 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

AMANDA GRAHAM DOBBINS CRNA
Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 806-4525
DR. RANDY ROTH M.D.
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5510
DR. SUZANNE AYERS IODICE M.D.
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5510
MR. LAIRD MILLER
Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5000
LEAH MCMAHAN CRNA
Nurse Anesthetist, Certified Registered
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 818-0563
SINGING RIVER HEALTH SYSTEM
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5000
DR. MICHAEL SEYMOUR M.D.
Emergency Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5000
JAMES LEE HARWELL MD
Internal Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Jackson County (228) 809-5510

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 Carbajal's NPI number?

The NPI number for Susan Carbajal is 1376138859. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Susan Carbajal located?

Susan Carbajal practices at 2809 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 809-5419.

What is Susan Carbajal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Susan Carbajal enrolled in Medicare?

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

Which organizations bill Medicare for Susan Carbajal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Carbajal reassigns Medicare benefits to 2 organizations: Singing River Health System (Pascagoula, MS) and Singing River Gulfport (Gulfport, MS). Each 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 Carbajal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Carbajal accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Susan Carbajal 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.

When was this NPI record last updated?

The NPPES record for Susan Carbajal was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.