Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUE EAR ANNE
NPI 1699518977
Nurse Practitioner - Family in Los Angeles, CA

Active since June 14, 2024PECOS Enrolled
1120 W WASHINGTON BLVD STE B, LOS ANGELES, CA 90015(213) 623-2225 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Mar 12, 2025, Mar 8, 2025 and 1 more (4 updates tracked since 2024).

About Sue Ear Anne NPPES

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

SUE EAR ANNE (NPI 1699518977) is an individual family provider in Los Angeles, California, licensed in California (95030511) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Arcadia.

NPPES Registry Identity

NPI1699518977
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE EAR ANNE
Location Address1120 W WASHINGTON BLVD STE BLos Angeles, CA 90015-3316
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorYes
Enumeration DateJune 14, 2024
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1699518977 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 CA · 95030511
1120 W WASHINGTON BLVD STE B, Los Angeles, CA 90015

Secondary Practice Location 1

Location 11401 S Baldwin AveArcadia, CA 91007-7922 · Phone (626) 445-1284

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sue Ear Anne 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 90015 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Sue Anne's NPI number?

The NPI number for Sue Anne is 1699518977. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Sue Anne located?

Sue Anne practices at 1120 W Washington Blvd Ste B, Los Angeles, CA 90015. The listed phone number is (213) 623-2225.

What is Sue Anne's specialty?

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

Is Sue Anne enrolled in Medicare?

Yes. Sue Anne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sue Anne was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.