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SUZANNA LOUISE SLATER AGNP, MSN, RN
NPI 1609673961
Nurse Practitioner in Salt Lake City, UT

Active since February 25, 2025PECOS EnrolledAccepts Medicare Assignment
456 E VICTORIA PL, SALT LAKE CITY, UT 84103(203) 640-4429 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suzanna Louise Slater Agnp, Msn, Rn NPPES

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

SUZANNA LOUISE SLATER AGNP, MSN, RN (NPI 1609673961) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (14187712-4405) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609673961
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUZANNA LOUISE SLATERCredential: AGNP, MSN, RN
Location Address456 E VICTORIA PLSalt Lake City, UT 84103-3157
Mailing Address456 E Victoria PlSalt Lake City, UT 84103-3157 · (203) 640-4429
Phone(203) 640-4429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1609673961 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 UT · 14187712-4405
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.
456 E VICTORIA PL, Salt Lake City, UT 84103
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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

Suzanna Louise Slater Agnp, Msn, Rn 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 ID7315450475
PECOS Enrollment IDI20250701003671
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 84103 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Suzanna Slater's NPI number?

The NPI number for Suzanna Slater is 1609673961. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Suzanna Slater located?

Suzanna Slater practices at 456 E Victoria Pl, Salt Lake City, UT 84103. The listed phone number is (203) 640-4429.

What is Suzanna Slater's specialty?

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

Is Suzanna Slater enrolled in Medicare?

Yes. Suzanna Slater 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 Suzanna Slater was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.