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SUSANA WOLMARANS MD
NPI 1588196265
Emergency Medicine in Crystal River, FL

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428(352) 576-5600 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, Jun 11, 2020, Mar 31, 2017 (3 updates tracked since 2017).

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 is a graduate of Pennsylvania State University College Of Medicine (2017).

NPPES Registry Identity

NPI1588196265
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSANA WOLMARANSCredential: MD
Location Address6201 N SUNCOAST BLVDCrystal River, FL 34428-6712
Mailing Address1643 Nw 136th Ave Ste 100Sunrise, FL 33323-2857 · (800) 424-3672
Phone(352) 576-5600
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1588196265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME175418✔ Licensed in NY · 304745✔ Licensed in LA · 334764
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6201 N SUNCOAST BLVD, Crystal River, FL 34428
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3173947959
PECOS Enrollment IDI20231226001747, I20240120000397, I20240130002685, I20250719000014
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
210 services206 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
101 services97 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
46 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100071
Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County
Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Physician 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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

CONTINUUM MEDICAL SOLUTIONS, LLC
Internal Medicine (Critical Care Medicine)
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (813) 392-3631
DR. DAVID ZEPF PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-6560
DAVID G RIEHN D.O.
Anesthesiology
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-4008
DESARAJU & KOMPELLA, P.A.
Family Medicine
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 601-2375
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Pediatrics (Pediatric Cardiology)
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-6560
MARY PUCKETT CARROLL RPH
Pharmacist
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-8460
MS. KELLY IRENE NIBLETT RD
Dietitian, Registered
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-6560
DAWN STARRE COULL APRN
Nurse Practitioner (Family)
6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
Citrus County (352) 795-6560

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.

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, Memorial Mission Hospital And Asheville Surgery Ce, Transylvania Regional Hospital, Inc and Blue Ridge Regional Hospital.

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 12 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.