MISS SUZANNE M FISK N. P.
NPI 1417315391
Nurse Practitioner - Family in Mission Hills, CA

Active since February 05, 2016PECOS EnrolledAccepts Medicare Assignment
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(661) 435-0898 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2023, Dec 23, 2019, Feb 5, 2016 (3 updates tracked since 2016).

About Miss Suzanne M Fisk N. P. NPPES

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

MISS SUZANNE M FISK N. P. (NPI 1417315391) is an individual family provider in Mission Hills, California, licensed in California (95003791) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417315391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS SUZANNE M FISKCredential: N. P.
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing Address43112 15th St WLancaster, CA 93534-6219 · (661) 726-2435 · Fax (661) 726-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 5, 2016
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
NPI 1417315391 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 · 95003791
11333 SEPULVEDA BLVD, Mission Hills, CA 91345

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

Miss Suzanne M Fisk N. 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 ID3274830922
PECOS Enrollment IDI20160324001231
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 91345 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Family Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Nurse Practitioner (Family)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Pharmacy (Community/Retail Pharmacy)
11333 SEPULVEDA BLVD, SUITE 1200
MISSION HILLS, CA 91345
Dermatology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417315391, enumerated as an "individual" on February 05, 2016.

The provider is located at 11333 SEPULVEDA BLVD MISSION HILLS, CA 91345 and the phone number is (661) 435-0898.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.