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SUSAN ST. ONGE FNP
NPI 1609930023
Nurse Practitioner - Family in Portland, TX

Active since December 20, 2006PECOS Enrolled
107 CEDAR DR, PORTLAND, TX 78374(361) 643-6623(361) 643-6964 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan St. Onge Fnp NPPES

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

SUSAN ST. ONGE FNP (NPI 1609930023) is an individual family provider in Portland, Texas, licensed in Texas (598821) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609930023
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN ST. ONGECredential: FNP
Location Address107 CEDAR DRPortland, TX 78374-2935
Mailing Address107 Cedar DrPortland, TX 78374-2935 · (361) 643-6623 · Fax (361) 643-6964
Phone(361) 643-6623
Fax(361) 643-6964
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1609930023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 598821
107 CEDAR DR, Portland, TX 78374
Open in Google Maps ↗

Other Identifiers 1

Medicaid165240601TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan St. Onge Fnp 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 Reassignment

Medicare enrollment records show Susan St. Onge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management Of Texas, P.A.
131 mi
Internal Medicine
12602 TOEPPERWEIN RD STE 100
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1770988990 (210) 654-0030

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 78374 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

JEROME LEE SANG MD
Internal Medicine
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
JEROME LEE SANG MD, PA
Internal Medicine
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
RACHEL M POLASEK PA
Internal Medicine
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
ANDREA DAWN HARTQUIST FNP
Nurse Practitioner (Family)
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
MICHAEL SOLER MD
Family Medicine
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
DR. LAURA ISELA SOLER M.D.
Internal Medicine
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623
AREESA OCHOA FNP-C
Nurse Practitioner (Family)
107 CEDAR DR
PORTLAND, TX 78374
San Patricio County (361) 643-6623

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 Susan St. Onge's NPI number?

The NPI number for Susan St. Onge is 1609930023. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Susan St. Onge located?

Susan St. Onge practices at 107 Cedar Dr, Portland, TX 78374. The listed phone number is (361) 643-6623.

What is Susan St. Onge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan St. Onge enrolled in Medicare?

Yes. Susan St. Onge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan St. Onge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan St. Onge reassigns Medicare benefits to Conviva Medical Center Management Of Texas, P.A. (Live Oak, TX). The 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 Susan St. Onge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan St. Onge was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.