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

Q: 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.

Q: What is Susan Carbajal's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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Other Identifiers 1

Medicaid00072750MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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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