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SUSAN B IBRAHIM CRFNP
NPI 1568511491
Nurse Practitioner - Family in Cordova, TN

Active since January 09, 2007PECOS Enrolled
1204 N HOUSTON LEVEE RD STE 114, CORDOVA, TN 38018(901) 421-5000 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 6, 2025, Nov 25, 2025, Nov 20, 2025 and 1 more (4 updates tracked since 2023).

About Susan B Ibrahim Crfnp NPPES

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

SUSAN B IBRAHIM CRFNP (NPI 1568511491) is an individual family provider in Cordova, Tennessee, licensed in Tennessee (APN0000012438) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1568511491
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN B IBRAHIMCredential: CRFNP
Location Address1204 N HOUSTON LEVEE RD STE 114Cordova, TN 38018-6687
Mailing Address1204 N Houston Levee Rd Ste 114Cordova, TN 38018-6687 · (901) 857-4228
Phone(901) 421-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 6, 20254 updates tracked since enumeration
NPPES CertifiedDecember 6, 2025
✔ NPI 1568511491 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 TN · APN0000012438
1204 N HOUSTON LEVEE RD STE 114, Cordova, TN 38018
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Susan B Ibrahim Crfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618345315
PECOS Enrollment IDI20250324000309
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

3

Medicare enrollment records show Susan Ibrahim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Xpeditedcare LLC
Same address
Urgent Care
1204 N HOUSTON LEVEE RD
Cordova, TN 38018
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Xpedited Care LLC
  • 2 clinicians in this Medicare group
NPI 1093558611 (901) 857-4228
Mid-South Urgent Care, PLLC
0.1 mi
Family Medicine
1204 N HOUSTON LEVEE RD, SUITE 114
Cordova, TN 38018
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1780017228 (901) 421-5000
Consolidated Medical Practices Of Memphis,pllc
7.3 mi
Internal Medicine
6799 GREAT OAKS RD
Memphis, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 166 clinicians in this Medicare group
NPI 1508027491 (901) 821-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
118 services26 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
112 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services63 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
50 services41 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38018 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

FAWN CRESS FNP
Nurse Practitioner (Family)
1204 N HOUSTON LEVEE RD STE 114
CORDOVA, TN 38018
Shelby County (901) 421-5000

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 Ibrahim's NPI number?

The NPI number for Susan Ibrahim is 1568511491. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Susan Ibrahim located?

Susan Ibrahim practices at 1204 N Houston Levee Rd Ste 114, Cordova, TN 38018. The listed phone number is (901) 421-5000.

What is Susan Ibrahim's specialty?

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

Is Susan Ibrahim enrolled in Medicare?

Yes. Susan Ibrahim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ibrahim reassigns Medicare benefits to 3 organizations: Xpeditedcare LLC (Cordova, TN), Mid-South Urgent Care, PLLC (Cordova, TN) and Consolidated Medical Practices Of Memphis,pllc (Memphis, TN). 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 Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Ibrahim accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Susan Ibrahim 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 Ibrahim was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.