SUSANA WOLMARANS MD
NPI 1588196265
Emergency Medicine in Crystal River, FL
About Susana Wolmarans Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANA WOLMARANS MD (NPI 1588196265) is an individual emergency medicine provider in Crystal River, Florida, licensed in Florida (ME175418) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Brooksville, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susana Wolmarans Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
13Medicare enrollment records show Susana Wolmarans reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Columbia, SC 29209
- Reassigned Medicare billing, South Carolina enrollment
- 38 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, North Carolina enrollment
- 557 clinicians in this Medicare group
Williamsburg, KY 40769
- Reassigned Medicare billing, Kentucky enrollment
- 1,441 clinicians in this Medicare group
Glasgow, KY 42141
- Reassigned Medicare billing, Kentucky enrollment
- 323 clinicians in this Medicare group
Glasgow, KY 42141
- Reassigned Medicare billing, Kentucky enrollment
- 68 clinicians in this Medicare group
Alexandria, LA 71301
- Reassigned Medicare billing, Louisiana enrollment
- 178 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tampa General Hospital Brooksville
Acute Care Hospitals · Brooksville, FLTampa General Hospital Crystal River
Acute Care Hospitals · Crystal River, FLMemorial Mission Hospital And Asheville Surgery Ce
Acute Care Hospitals · Asheville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CRYSTAL RIVER, FL 34428
CRYSTAL RIVER, FL 34428
CRYSTAL RIVER, FL 34428
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 Susana Wolmarans's NPI number?
The NPI number for Susana Wolmarans is 1588196265. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Susana Wolmarans located?
Susana Wolmarans practices at 6201 N Suncoast Blvd, Crystal River, FL 34428. The listed phone number is (352) 576-5600.
What is Susana Wolmarans's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Susana Wolmarans enrolled in Medicare?
Yes. Susana Wolmarans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susana Wolmarans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susana Wolmarans reassigns Medicare benefits to 13 organizations: Paragon Emergency Services LLC (Winter Haven, FL), Urgent Care Services Of South Carolina PC (Columbia, SC), Paragon Contracting Services LLC (Birmingham, AL), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Emergency Coverage, LLC (Newport, TN) and 8 more organizations, listed in the Medicare section above. 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 Susana Wolmarans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susana Wolmarans accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama list Susana Wolmarans 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.
Is Susana Wolmarans affiliated with any hospitals?
According to CMS data, Susana Wolmarans is affiliated with Tampa General Hospital Brooksville, Tampa General Hospital Crystal River and Memorial Mission Hospital And Asheville Surgery Ce.
When was this NPI record last updated?
The NPPES record for Susana Wolmarans was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Susana Wolmarans, MD · NPI 1588196265
Emergency Medicine physician in Crystal River, Florida. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1588196265 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME175418 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6201 N SUNCOAST BLVD, Crystal River, FL 34428-6712
- **Phone:** (352) 576-5600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Paragon Emergency Services LLC (NPI 1912101650, Winter Haven, FL); Urgent Care Services Of South Carolina PC (NPI 1679409486, Columbia, SC); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** July 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1588196265) · Data from the CMS NPPES public registry.