DR. SUSAN DEBOLT DNP
NPI 1487405221
Nurse Practitioner in Apple Valley, MN

Active since March 29, 2024PECOS EnrolledAccepts Medicare Assignment
15350 ENGLISH AVE, APPLE VALLEY, MN 55124(952) 431-8500 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Jul 2, 2024 (2 updates tracked since 2024).

About Dr. Susan Debolt Dnp NPPES

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

DR. SUSAN DEBOLT DNP (NPI 1487405221) is an individual nurse practitioner in Apple Valley, Minnesota, licensed in Minnesota (11602) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487405221
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. SUSAN DEBOLTCredential: DNP
Location Address15350 ENGLISH AVEApple Valley, MN 55124
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 29, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1487405221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · 11602
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 35114 (TN)
15350 ENGLISH AVE, Apple Valley, MN 55124

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

Dr. Susan Debolt Dnp 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 ID8022552876
PECOS Enrollment IDI20240703001820, I20260428001247
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

Services this provider delivered to Medicare fee-for-service patients, from the 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Nurse Practitioner
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dentist (General Practice)
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124

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 Debolt's NPI number?

The NPI number for Susan Debolt is 1487405221. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Susan Debolt located?

Susan Debolt practices at 15350 English Ave, Apple Valley, MN 55124. The listed phone number is (952) 431-8500.

What is Susan Debolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Debolt enrolled in Medicare?

Yes. Susan Debolt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Debolt accept?

Health plans from Medica list Susan Debolt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Debolt was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.