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SUSAN GIRON FNP
NPI 1649733619
Nurse Practitioner - Family in Albuquerque, NM

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
4700 JEFFERSON ST NE STE 800, ALBUQUERQUE, NM 87109(505) 418-6636(505) 521-5160 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Aug 8, 2022, Jan 13, 2021 and 1 more (4 updates tracked since 2019).

About Susan Giron Fnp NPPES

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

SUSAN GIRON FNP (NPI 1649733619) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (55788) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649733619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN GIRONCredential: FNP
Location Address4700 JEFFERSON ST NE STE 800Albuquerque, NM 87109-2132
Mailing AddressPo Box 208313Dallas, TX 75320-8313 · (520) 777-5030 · Fax (520) 509-4496
Phone(505) 418-6636
Fax(505) 521-5160
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1649733619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 55788
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN-72818 (NM)
4700 JEFFERSON ST NE STE 800, Albuquerque, NM 87109
Open in Google Maps ↗

Secondary Practice Location 1

Location 19640 Menaul Blvd NEAlbuquerque, NM 87112-2217 · Phone (505) 294-4167

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

Susan Giron Fnp 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 ID749517837
PECOS Enrollment IDI20190813000508
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 11

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
266 services66 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
84 services39 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
25 services11 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 5

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

WELSCARE OF NEW MEXICO LLC
Clinic/Center (Multi-Specialty)
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (801) 869-4100
LAURENCE R LAUDICINA MD
Orthopaedic Surgery
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112
CORAL JANE WAGGONER RPSGT, RRT,CCSH,MBA
Specialist/Technologist, Other
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 872-6005
DAMEN MICHAEL SACOMAN MD
Orthopaedic Surgery
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112
JAMES KIRK ALLMAN PAC
Physician Assistant
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112

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 Giron's NPI number?

The NPI number for Susan Giron is 1649733619. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Susan Giron located?

Susan Giron practices at 4700 Jefferson St NE Ste 800, Albuquerque, NM 87109. The listed phone number is (505) 418-6636.

What is Susan Giron's specialty?

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

Is Susan Giron enrolled in Medicare?

Yes. Susan Giron 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 Susan Giron was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.