SUSAN JANICKE
NPI 1669535092
Nurse Practitioner - Family in La Crosse, WI

Q: What is Susan Janicke's NPI number?

The NPI number for Susan Janicke is 1669535092. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Susan Janicke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Janicke was last updated on February 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2006PECOS Enrolled

2500 STATE RD # 33, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Susan Janicke NPPES

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

SUSAN JANICKE (NPI 1669535092) is an individual family provider in La Crosse, Wisconsin, licensed in Wisconsin (3063-033) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669535092

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN JANICKE

Location Address2500 STATE RD # 33La Crosse, WI 54601-5098

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateFebruary 26, 2018

✔ NPI 1669535092 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

Licenses✔ Licensed in WI · 3063-033✔ Licensed in MN · R142404-1

2500 STATE RD # 33, La Crosse, WI 54601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Janicke 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

STACIE STRONG

Nurse Practitioner (Pediatrics)