SUSAN CAROL MCMULLEN N.P.//1966
NPI 1407895667
Nurse Practitioner - Family in Truckee, CA
About Susan Carol Mcmullen N.p.//1966 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN CAROL MCMULLEN N.P.//1966 (NPI 1407895667) is an individual family provider in Truckee, California, licensed in California (11292) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Carol Mcmullen N.p.//1966 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Mcmullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
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 96161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRUCKEE, CA 96161
TRUCKEE, CA 96161
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 Mcmullen's NPI number?
The NPI number for Susan Mcmullen is 1407895667. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Susan Mcmullen located?
Susan Mcmullen practices at 10121 Pine Ave Extended Care Snf, Truckee, CA 96161. The listed phone number is (530) 582-3251.
What is Susan Mcmullen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Mcmullen enrolled in Medicare?
Yes. Susan Mcmullen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Mcmullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mcmullen reassigns Medicare benefits to Tahoe Forest Hospital District (Truckee, CA). 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 Mcmullen'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 Mcmullen was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Susan Carol Mcmullen, N.P.//1966 · NPI 1407895667
Family physician in Truckee, California. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1407895667 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11292 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10121 PINE AVE, EXTENDED CARE SNF, Truckee, CA 96161-4856
- **Phone:** (530) 582-3251 · **Fax:** (530) 582-3281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tahoe Forest Hospital District (NPI 1538265780, Truckee, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407895667) · Data from the CMS NPPES public registry.