SUSAN HOLMES M.P.
NPI 1396826251
Nurse Practitioner - Primary Care in Opelika, AL

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
121 N 20TH ST, #6, OPELIKA, AL 36801(334) 749-3385(334) 742-9243 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Holmes M.p. NPPES

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

SUSAN HOLMES M.P. (NPI 1396826251) is an individual primary care provider in Opelika, Alabama, licensed in Alabama (1-039701) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1396826251
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSUSAN HOLMESCredential: M.P.
Location Address121 N 20TH ST, #6Opelika, AL 36801-5449
Mailing Address121 N 20th St, #6Opelika, AL 36801-5449 · (334) 749-3385 · Fax (334) 742-9243
Fax(334) 742-9243
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1396826251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AL · 1-039701
121 N 20TH ST, Opelika, AL 36801

Other Identifiers 1

Medicare UPINS93253AL

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

Susan Holmes M.p. 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 ID6507005360
PECOS Enrollment IDI20130627000134
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

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 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.
42 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Internal Medicine (Gastroenterology)
121 N 20TH ST, #6
OPELIKA, AL 36801
Specialist/Technologist (Athletic Trainer)
121 N 20TH ST
OPELIKA, AL 36801
Nurse Practitioner (Primary Care)
121 N 20TH ST, #6
OPELIKA, AL 36801
Pharmacist
121 N 20TH ST, BUILDING # 1
OPELIKA, AL 36801
Internal Medicine (Gastroenterology)
121 N 20TH ST, #6
OPELIKA, AL 36801
Obstetrics & Gynecology
121 N 20TH ST, #2
OPELIKA, AL 36801
Surgery
121 N 20TH ST, BLDG 3
OPELIKA, AL 36801
Surgery
121 N 20TH ST, BLDG 3
OPELIKA, AL 36801

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 Holmes's NPI number?

The NPI number for Susan Holmes is 1396826251. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Susan Holmes located?

Susan Holmes practices at 121 N 20th St #6, Opelika, AL 36801. The listed phone number is (334) 749-3385.

What is Susan Holmes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Susan Holmes enrolled in Medicare?

Yes. Susan Holmes 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 Susan Holmes accept?

Health plans from Blue Cross and Blue Shield of Alabama list Susan Holmes 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 Holmes was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.