SUSAN FAGRE MD
NPI 1548285778
Pediatrics in Saint Paul, MN

Q: 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.

Q: What is Susan Fagre's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fagre was last updated on December 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2006PECOS Enrolled

2004 FORD PKWY, SAINT PAUL, MN 55116(651) 241-9600(651) 241-9593 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1548285778

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUSAN FAGRECredential: MD

Location Address2004 FORD PKWYSaint Paul, MN 55116-1931

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(651) 241-9600

Fax(651) 241-9593

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateDecember 22, 2011

✔ NPI 1548285778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 33870

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2004 FORD PKWY, Saint Paul, MN 55116

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Other Identifiers 3

Medicare PIN1548285778MN

Medicare UPINE43932

Medicaid103208900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Fagre Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

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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.

KARI ANNETTE BAILLIF

Nurse Practitioner (Primary Care)