IHOR IHOROVYCH SUSAK
NPI 1598547481
Nurse Practitioner in Jacksonville, FL

Q: What is Ihor Susak's NPI number?

The NPI number for Ihor Susak is 1598547481. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Ihor Susak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ihor Susak was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 16, 2023PECOS Enrolled

3900 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 222-6656(904) 222-6667 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ihor Ihorovych Susak NPPES

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

IHOR IHOROVYCH SUSAK (NPI 1598547481) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11027667) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598547481

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameIHOR IHOROVYCH SUSAK

Location Address3900 UNIVERSITY BLVD SJacksonville, FL 32216-4331

Mailing Address3900 University Blvd SJacksonville, FL 32216-4331 · (904) 222-6656 · Fax (904) 222-6657

Phone(904) 222-6656

Fax(904) 222-6667

Sole ProprietorYes

Enumeration DateOctober 16, 2023

NPPES CertifiedOctober 16, 2023

✔ NPI 1598547481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11027667

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3900 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ihor Ihorovych Susak 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.

Medicare Billing Reassignments

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

Ashchi Heart & Vascular Center PA

Same address

Interventional Cardiology

3900 UNIVERSITY BLVD S, SUITE A
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
15 clinicians in this Medicare group

NPI 1447635834 (904) 222-6656

Rmed LLC

2.5 mi

Family Medicine

4348 SOUTHPOINT BLVD STE 100
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
288 clinicians in this Medicare group

NPI 1205476793 (904) 281-1915

Harmonycares Complete Health Services, PLLC

526 mi

Family Medicine

317 E CAPITOL ST STE 200
Jackson, MS 39201

Reassigned Medicare billing, Florida enrollment
117 clinicians in this Medicare group

NPI 1093543902 (855) 396-9643

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 32216 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.

Other Providers at the Same Location NPPES 15

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

DR. MINNSUN KOH PARK M.D.

Internal Medicine (Cardiovascular Disease)