MRS. SUSAN SANGER NICHOLSON FNP
NPI 1558480756
Nurse Practitioner - Family in Longmont, CO

Q: What is Susan Nicholson's NPI number?

The NPI number for Susan Nicholson is 1558480756. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Susan Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Nicholson was last updated on May 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2007PECOS Enrolled

2030 MOUNTAIN VIEW AVE, SUITE 400, LONGMONT, CO 80501(303) 702-5910(303) 702-5935 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Susan Sanger Nicholson Fnp NPPES

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

MRS. SUSAN SANGER NICHOLSON FNP (NPI 1558480756) is an individual family provider in Longmont, Colorado, licensed in Colorado (5223) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558480756

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SUSAN SANGER NICHOLSONCredential: FNP

Location Address2030 MOUNTAIN VIEW AVE, SUITE 400Longmont, CO 80501-3182

Mailing Address2030 Mountain View Ave, Suite 400Longmont, CO 80501-3178 · (303) 702-5910 · Fax (303) 702-5935

Phone(303) 702-5910

Fax(303) 702-5935

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateMay 22, 2014

✔ NPI 1558480756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · 5223

2030 MOUNTAIN VIEW AVE, Longmont, CO 80501

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Other Identifiers 1

Medicaid03039277CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Sanger Nicholson Fnp 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 80501 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.