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SUSAN C. PAVLICK RN-C, FNP
NPI 1679550420
Nurse Practitioner - Family in Streator, IL

Active since December 22, 2005PECOS Enrolled
2377 BLOOMINGTON AVENUE, SUITE B, STREATOR, IL 61364(815) 672-1382 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan C. Pavlick Rn-c, Fnp NPPES

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

SUSAN C. PAVLICK RN-C, FNP (NPI 1679550420) is an individual family provider in Streator, Illinois, licensed in Illinois (209009636) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679550420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN C. PAVLICKCredential: RN-C, FNP
Location Address2377 BLOOMINGTON AVENUE, SUITE BStreator, IL 61364-1307
Mailing Address2377 Bloomington Avenue, Suite BStreator, IL 61364-1307 · (815) 672-1382
Phone(815) 672-1382
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 14, 2013
✔ NPI 1679550420 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 IL · 209009636✔ Licensed in NY · F330105
2377 BLOOMINGTON AVENUE, Streator, IL 61364
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Other Identifiers 1

Medicare UPINP02313NY

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 C. Pavlick Rn-c, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61364 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers47 claims132 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers30 claims43 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$202.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pavlick's NPI number?

The NPI number for Susan Pavlick is 1679550420. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Susan Pavlick located?

Susan Pavlick practices at 2377 Bloomington Avenue Suite B, Streator, IL 61364. The listed phone number is (815) 672-1382.

What is Susan Pavlick's specialty?

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

Is Susan Pavlick enrolled in Medicare?

Yes. Susan Pavlick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Pavlick was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.