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SUSAN WOLF APN
NPI 1396144663
Nurse Practitioner in Metamora, IL

Active since August 22, 2014PECOS Enrolled
928 W MOUNT VERNON ST, METAMORA, IL 61548(309) 367-2229 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Wolf Apn NPPES

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

SUSAN WOLF APN (NPI 1396144663) is an individual nurse practitioner in Metamora, Illinois, licensed in Illinois (209-011733) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396144663
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN WOLFCredential: APN
Location Address928 W MOUNT VERNON STMetamora, IL 61548-6004
Mailing Address928 W Mount Vernon StMetamora, IL 61548-6004 · (309) 367-2229
Phone(309) 367-2229
Sole ProprietorNo
Enumeration DateAugust 22, 2014
✔ NPI 1396144663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-011733
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.
928 W MOUNT VERNON ST, Metamora, IL 61548
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Other Names 1

Former Name (1)Susan Waltrip

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Wolf Apn 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 Reassignment

Medicare enrollment records show Susan Wolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group
15 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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 61548 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

DR. DANIEL ERIC O'BRIEN M.D.
Internal Medicine
928 W MOUNT VERNON ST
METAMORA, IL 61548
Woodford County (309) 367-2321

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 Wolf's NPI number?

The NPI number for Susan Wolf is 1396144663. It was assigned to this individual provider in the NPPES registry on August 22, 2014. The provider is also known as Susan Waltrip.

Where is Susan Wolf located?

Susan Wolf practices at 928 W Mount Vernon St, Metamora, IL 61548. The listed phone number is (309) 367-2229.

What is Susan Wolf's specialty?

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

Is Susan Wolf enrolled in Medicare?

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

Which organization bills Medicare for Susan Wolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wolf reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Wolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Wolf was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.