SUSAN SUZUKI WELLBORN NURSE PRACTITIONER
NPI 1578699484
Nurse Practitioner - Family in Long Beach, CA
About Susan Suzuki Wellborn Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN SUZUKI WELLBORN NURSE PRACTITIONER (NPI 1578699484) is an individual family provider in Long Beach, California, licensed in California (283744) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Suzuki Wellborn Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Wellborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90813
- Reassigned Medicare billing, California enrollment
- 28 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 90813 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90813
LONG BEACH, CA 90813
LONG BEACH, CA 90813
LONG BEACH, CA 90813
LONG BEACH, CA 90813
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 Wellborn's NPI number?
The NPI number for Susan Wellborn is 1578699484. It was assigned to this individual provider in the NPPES registry on February 26, 2007.
Where is Susan Wellborn located?
Susan Wellborn practices at 1043 Elm Ave Suite 300, Long Beach, CA 90813. The listed phone number is (562) 624-4908.
What is Susan Wellborn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Wellborn enrolled in Medicare?
Yes. Susan Wellborn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Wellborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wellborn reassigns Medicare benefits to Dignity Health (Long Beach, CA). 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 Wellborn'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 Wellborn was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 Suzuki Wellborn, NURSE PRACTITIONER · NPI 1578699484
Family physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1578699484 (Entity type: Individual)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 283744 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1043 ELM AVE, SUITE 300, Long Beach, CA 90813-3271
- **Phone:** (562) 624-4908 · **Fax:** (562) 491-9128
## 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:** Dignity Health (NPI 1194840421, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1578699484) · Data from the CMS NPPES public registry.