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SUSANA LAGUNAS
NPI 1619418332
Nurse Practitioner - Family in Mishawaka, IN

Active since March 14, 2017PECOS EnrolledAccepts Medicare Assignment
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7673(574) 307-7692 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 20, 2023, Mar 14, 2017 (2 updates tracked since 2017).

About Susana Lagunas NPPES

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

SUSANA LAGUNAS (NPI 1619418332) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71006934A) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619418332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA LAGUNAS
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address420 W 4th StMishawaka, IN 46544-1948 · (574) 307-7676 · Fax (574) 307-7692
Phone(574) 307-7673
Fax(574) 307-7692
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 14, 2017
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1619418332 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 IN · 71006934A
420 W 4TH ST, Mishawaka, IN 46544
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Lagunas 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 ID1557646056
PECOS Enrollment IDI20170324000708
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services12 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BROXTON THAYNE DAVIS PHARMD
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DR. MONICA A RIVERS PHARMD, MBA
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
JANA SCHENKEL CNM
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DALE DENNIS DEARDORFF M.D.
Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
St. Joseph County (574) 247-3456
JESSICA A GNOTH
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DANIEL J TRIEZENBERG MD
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (219) 462-7173
CHAYA KOLODNY FNP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (888) 580-1060
MS. KRISTEN E BREE NP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673

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 Lagunas's NPI number?

The NPI number for Susana Lagunas is 1619418332. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Susana Lagunas located?

Susana Lagunas practices at 420 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 307-7673.

What is Susana Lagunas's specialty?

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

Is Susana Lagunas enrolled in Medicare?

Yes. Susana Lagunas 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.

What insurance does Susana Lagunas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Susana Lagunas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susana Lagunas was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.