1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Nurse Practitioner
  6. NPI Profile

SUSAN SANSOM CNP
NPI 1538611397
Nurse Practitioner in Meridian, ID

Active since October 27, 2016PECOS EnrolledAccepts Medicare Assignment
360 E MONTVUE DR STE 100, MERIDIAN, ID 83642(208) 855-2900(208) 855-2911 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Sansom Cnp NPPES

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

SUSAN SANSOM CNP (NPI 1538611397) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (54528) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538611397
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN SANSOMCredential: CNP
Location Address360 E MONTVUE DR STE 100Meridian, ID 83642-6318
Mailing Address360 E Montvue Dr Ste 100Meridian, ID 83642-6318 · (208) 855-2900 · Fax (208) 855-2911
Phone(208) 855-2900
Fax(208) 855-2911
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 27, 2016
✔ NPI 1538611397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 54528
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.
360 E MONTVUE DR STE 100, Meridian, ID 83642
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Sansom Cnp 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 ID8123300191
PECOS Enrollment IDI20170126002639
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Susan Sansom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Exodus Pain Clinic
2.9 mi
Interventional Pain Medicine
987 S ALLANTE PL
Boise, ID 83709
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1366849572 (208) 947-7246
Primary Peak LLC
5.5 mi
Family
1003 N ORCHARD ST
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: Onepeak Medical Care LLC
  • 4 clinicians in this Medicare group
NPI 1811750458 (208) 331-6700
Advanced Family Medicine PLLC
7.9 mi
Family Medicine
943 LINDER RD, #103
Kuna, ID 83634
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group
NPI 1598822231 (208) 922-3355
Gary Gregerson, M.D., P.A.
12 mi
Obstetrics & Gynecology
1611 12TH AVE RD, SUITE A
Nampa, ID 83686
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: Gary Gregerson MD PA
  • 10 clinicians in this Medicare group
NPI 1255762506 (208) 468-9400

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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%106 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%28 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%206 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%201 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%203 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%201 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%201 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%201 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT TYLER WARD PA-C
Physician Assistant
360 E MONTVUE DR STE 100
MERIDIAN, ID 83642
Ada County (208) 855-2900
BETH S ROGERS MD
Physical Medicine & Rehabilitation (Pain Medicine)
360 E MONTVUE DR STE 100
MERIDIAN, ID 83642
Ada County (208) 855-2900
MOLLY MARIE HODGE P.T.
Physical Therapist
360 E MONTVUE DR STE 100, STE 100
MERIDIAN, ID 83642
Ada County (208) 855-2900
ALICIA FAYE HENRICH PA-C
Physician Assistant
360 E MONTVUE DR STE 100
MERIDIAN, ID 83642
Ada County (208) 855-2900

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 Sansom's NPI number?

The NPI number for Susan Sansom is 1538611397. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Susan Sansom located?

Susan Sansom practices at 360 E Montvue Dr Ste 100, Meridian, ID 83642. The listed phone number is (208) 855-2900.

What is Susan Sansom's specialty?

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

Is Susan Sansom enrolled in Medicare?

Yes. Susan Sansom 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.

Which organizations bill Medicare for Susan Sansom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Sansom reassigns Medicare benefits to 4 organizations: Exodus Pain Clinic (Boise, ID), Primary Peak LLC (Boise, ID), Advanced Family Medicine PLLC (Kuna, ID) and Gary Gregerson, M.D., P.A. (Nampa, ID). Each 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 Sansom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Sansom accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Susan Sansom 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 Sansom was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.