SUSAN FAGRE MD
NPI 1548285778
Pediatrics in Saint Paul, MN
About Susan Fagre Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN FAGRE MD (NPI 1548285778) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (33870) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Fagre Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Fagre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55116
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
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 55116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Fagre's NPI number?
The NPI number for Susan Fagre is 1548285778. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Susan Fagre located?
Susan Fagre practices at 2004 Ford Pkwy, Saint Paul, MN 55116. The listed phone number is (651) 241-9600.
What is Susan Fagre's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Susan Fagre enrolled in Medicare?
Yes. Susan Fagre is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Fagre's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Fagre reassigns Medicare benefits to Allina Health System (St Paul, MN). The 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 Fagre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Fagre was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Susan Fagre, MD · NPI 1548285778
Pediatrics physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1548285778 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 33870 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2004 FORD PKWY, Saint Paul, MN 55116-1931
- **Phone:** (651) 241-9600 · **Fax:** (651) 241-9593
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Allina Health System (NPI 1457657231, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2011
- **Other identifiers:** Medicare PIN 1548285778 (MN); Medicare UPIN E43932; Medicaid 103208900 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1548285778) · Data from the CMS NPPES public registry.