SUSAN CAROL MCMULLEN N.P.02/07/1966
NPI 1407895667
Nurse Practitioner - Family in Truckee, CA

Q: 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.

Q: What is Susan Mcmullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Mcmullen was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 05, 2006PECOS Enrolled

10121 PINE AVE, EXTENDED CARE SNF, TRUCKEE, CA 96161(530) 582-3251(530) 582-3281 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Carol Mcmullen N.p.02/07/1966 NPPES

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

SUSAN CAROL MCMULLEN N.P.02/07/1966 (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

NPI1407895667

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN CAROL MCMULLENCredential: N.P.02/07/1966

Location Address10121 PINE AVE, EXTENDED CARE SNFTruckee, CA 96161-4856

Mailing Address10956 Donner Pass Rd, #230Truckee, CA 96161-4861 · (530) 582-3277 · Fax (530) 550-0544

Phone(530) 582-3251

Fax(530) 582-3281

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1407895667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 11292

10121 PINE AVE, Truckee, CA 96161

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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 Carol Mcmullen N.p.02/07/1966 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 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.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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