MS. SUSAN DIANE BLACKBURN LMSW
NPI 1649512484
Social Worker - Clinical in North Muskegon, MI
About Ms. Susan Diane Blackburn Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSAN DIANE BLACKBURN LMSW (NPI 1649512484) is an individual clinical provider in North Muskegon, Michigan, licensed in Michigan (6801079604) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Susan Diane Blackburn Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Susan Blackburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskegon, MI 49445
- Reassigned Medicare billing, Michigan enrollment
- 130 clinicians in this Medicare group
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 150 clinicians in this Medicare group
Sparta, MI 49345
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
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 49445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH MUSKEGON, MI 49445
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 Blackburn's NPI number?
The NPI number for Susan Blackburn is 1649512484. It was assigned to this individual provider in the NPPES registry on March 19, 2013. The provider is also known as Miss Susan Diane Gasper Msw.
Where is Susan Blackburn located?
Susan Blackburn practices at 2006 Holton Rd, North Muskegon, MI 49445. The listed phone number is (231) 672-3333.
What is Susan Blackburn's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Susan Blackburn enrolled in Medicare?
Yes. Susan Blackburn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susan Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Blackburn reassigns Medicare benefits to 3 organizations: Mercy Physician Network (Muskegon, MI), Mercy Health Partners - Physician Specialist (Muskegon, MI) and Advantage Health/Saint Mary's Medical Group (Sparta, MI). Each 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 Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Blackburn accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Susan Blackburn 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 Susan Blackburn was last updated on August 19, 2022. 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.
# Ms. Susan Diane Blackburn, LMSW · NPI 1649512484
Clinical provider in North Muskegon, Michigan. Individual provider, active in the CMS NPPES registry since March 19, 2013.
## Identity
- **NPI:** 1649512484 (Entity type: Individual)
- **Enumerated:** March 19, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801079604 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2006 HOLTON RD, North Muskegon, MI 49445-1505
- **Phone:** (231) 672-3333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Physician Network (NPI 1023056744, Muskegon, MI); Mercy Health Partners - Physician Specialist (NPI 1922248772, Muskegon, MI); Advantage Health/Saint Mary's Medical Group (NPI 1760599906, Sparta, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2022
- **Other identifiers:** Medicaid 1649512484 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1649512484) · Data from the CMS NPPES public registry.