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SUSANNA NICHOLASS MD
NPI 1598922882
Family Medicine in Banning, CA

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
5957 W RAMSEY ST, BANNING, CA 92220(951) 845-0313 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Nicholass Md NPPES

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

SUSANNA NICHOLASS MD (NPI 1598922882) is an individual family medicine provider in Banning, California, licensed in California (A107871) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2007).

NPPES Registry Identity

NPI1598922882
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSANNA NICHOLASSCredential: MD
Location Address5957 W RAMSEY STBanning, CA 92220-3058
Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188
Phone(951) 845-0313
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2007
Enumeration DateMay 22, 2008
Last NPPES UpdateDecember 1, 2021
✔ NPI 1598922882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A107871
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5957 W RAMSEY ST, Banning, CA 92220
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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

Susanna Nicholass 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 ID3476745084
PECOS Enrollment IDI20101013001254
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92220 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 17

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

JOSHUA HYUNG CHOI M.D.
Internal Medicine
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313
RANDY STEVEN YERGENSON
Physician Assistant
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313
VINH JOHN XUAN LE MD
Family Medicine
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313
SUSAN JANE SHEEDY NP
Nurse Practitioner (Obstetrics & Gynecology)
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 846-0313
BEAVER MEDICAL GROUP RAMSEY PRIMARY
Non-Pharmacy Dispensing Site
5957 W RAMSEY ST, SECOND FLOOR POD D
BANNING, CA 92220
Riverside County (951) 845-0313
DR. SCOTT DITCH
Internal Medicine
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313
BEAVER MEDICAL GROUP, LP
Family Medicine
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313
JANET COOPER
Nurse Practitioner (Family)
5957 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 845-0313

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 Susanna Nicholass's NPI number?

The NPI number for Susanna Nicholass is 1598922882. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Susanna Nicholass located?

Susanna Nicholass practices at 5957 W Ramsey St, Banning, CA 92220. The listed phone number is (951) 845-0313.

What is Susanna Nicholass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susanna Nicholass enrolled in Medicare?

Yes. Susanna Nicholass 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.

When was this NPI record last updated?

The NPPES record for Susanna Nicholass was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.