SUSAN ELISE STEVENS FNP-BC
NPI 1417212648
Nurse Practitioner - Family in Charleston, WV
About Susan Elise Stevens Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ELISE STEVENS FNP-BC (NPI 1417212648) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (74114) and active in the NPI registry since July 2012. 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 Elise Stevens Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Stevens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, WV 25304
- Reassigned Medicare billing, West Virginia enrollment
- 10 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 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stevens's NPI number?
The NPI number for Susan Stevens is 1417212648. It was assigned to this individual provider in the NPPES registry on July 13, 2012.
Where is Susan Stevens located?
Susan Stevens practices at 3100 Maccorkle Ave SE Ste B1, Charleston, WV 25304. The listed phone number is (304) 345-0667.
What is Susan Stevens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Stevens enrolled in Medicare?
Yes. Susan Stevens is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Stevens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Stevens reassigns Medicare benefits to Charleston Radiation Therapy Consultants PLLC (Charleston, WV). 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 Stevens'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 Stevens was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Susan Elise Stevens, FNP-BC · NPI 1417212648
Family physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since July 13, 2012.
## Identity
- **NPI:** 1417212648 (Entity type: Individual)
- **Enumerated:** July 13, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 74114 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 MACCORKLE AVE SE STE B1, Charleston, WV 25304-1222
- **Phone:** (304) 345-0667
## 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:** Charleston Radiation Therapy Consultants PLLC (NPI 1942208145, Charleston, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1417212648) · Data from the CMS NPPES public registry.