SUSAN C NOVAK-NIZAMI RN
NPI 1477920841
Nurse Practitioner - Psychiatric/Mental Health in Brentwood, CA

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
92.58/100
CMS Quality Rating
2400 BALFOUR RD., PATIENT SUPPORT SERVICES, BRENTWOOD, CA 94513(925) 308-8170 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 11, 2017, Sep 2, 2016 (2 updates tracked since 2016).

About Susan C Novak-nizami Rn NPPES

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

SUSAN C NOVAK-NIZAMI RN (NPI 1477920841) is an individual psychiatric/mental health provider in Brentwood, California, licensed in California (95004895) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477920841
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN C NOVAK-NIZAMICredential: RN
Location Address2400 BALFOUR RD., PATIENT SUPPORT SERVICESBrentwood, CA 94513
Mailing Address2400 Balfour Rd., Patient Support ServicesBrentwood, CA 94513 · (925) 308-8170
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJanuary 11, 20172 updates tracked since enumeration
NPI 1477920841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95004895
Also ListedRegistered NurseTaxonomy 163W00000X · License 644241 (CA)
2400 BALFOUR RD., Brentwood, CA 94513

Accepted Insurance

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

Susan C Novak-nizami Rn 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 ID1153609060
PECOS Enrollment IDI20161027002261
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
337 services81 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94513 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.68
Promoting Interoperability100
Improvement Activities40
Cost67.68

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
34
Breast Cancer Screening 63% 121
Cervical Cancer Screening 63% 184
Chlamydia Screening for Women 19% 47
Colorectal Cancer Screening 59% 196
Controlling High Blood Pressure 83% 119
Diabetes: Eye Exam 28% 54
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 17% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
54
Documentation of Current Medications in the Medical Record 27% 2067
e-Prescribing 100% 1734
Falls: Screening for Future Fall Risk 57% 93
HIV Screening 35% 425
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 47% 126
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 20% 44
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80% 425
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 62% 47
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 425
Provide Patients Electronic Access to Their Health Information 98% 396
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 77% 128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477920841, enumerated as an "individual" on September 01, 2015.

The provider is located at 2400 BALFOUR RD. PATIENT SUPPORT SERVICES BRENTWOOD, CA 94513 and the phone number is (925) 308-8170.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.