SUSAN ELISE STEVENS FNP-BC
NPI 1417212648
Nurse Practitioner - Family in Charleston, WV

Q: 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.

Q: What is Susan Stevens'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 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.

Active since July 13, 2012PECOS Enrolled

3100 MACCORKLE AVE SE STE B1, CHARLESTON, WV 25304(304) 345-0667 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1417212648

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN ELISE STEVENSCredential: FNP-BC

Location Address3100 MACCORKLE AVE SE STE B1Charleston, WV 25304-1222

Mailing Address3415 Maccorkle Ave SeCharleston, WV 25304-1334 · (304) 388-1790

Phone(304) 345-0667

Sole ProprietorNo

Enumeration DateJuly 13, 2012

Last NPPES UpdateFebruary 22, 2017

✔ NPI 1417212648 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 WV · 74114

3100 MACCORKLE AVE SE STE B1, Charleston, WV 25304

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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 Elise Stevens Fnp-bc 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 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.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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.

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.