SUSAN S ELY
NPI 1396035549
Nurse Practitioner in Washington, DC

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 660-6500(202) 660-6501 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Oct 14, 2016 (2 updates tracked since 2016).

About Susan S Ely NPPES

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

SUSAN S ELY (NPI 1396035549) is an individual nurse practitioner in Washington, District Of Columbia, licensed in Maryland (R224377) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1396035549
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN S ELY
Location Address5255 LOUGHBORO RD NWWashington, DC 20016
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000
Fax(202) 660-6501
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 8, 2011
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1396035549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MD · R224377 Licensed in DC · NP1041966
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5255 LOUGHBORO RD NW, Washington, DC 20016

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 S Ely 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 ID1658556709
PECOS Enrollment IDI20161117000060
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 2

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services13 patients
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.
21 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Ely's NPI number?

The NPI number for Susan Ely is 1396035549. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Susan Ely located?

Susan Ely practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 660-6500.

What is Susan Ely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Ely enrolled in Medicare?

Yes. Susan Ely 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 Ely was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.