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TERESA M SUSMARAS PHD
NPI 1710357017
Clinical Neuropsychologist in La Crosse, WI

Active since September 29, 2015PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2017, Dec 26, 2015, Sep 29, 2015 (3 updates tracked since 2015).

About Teresa M Susmaras Phd NPPES

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

TERESA M SUSMARAS PHD (NPI 1710357017) is an individual clinical neuropsychologist in La Crosse, Wisconsin, licensed in Wisconsin (3333) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710357017
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameTERESA M SUSMARASCredential: PHD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 782-7300
Sole ProprietorNo
Enumeration DateSeptember 29, 2015
Last NPPES UpdateOctober 17, 20173 updates tracked since enumeration
✔ NPI 1710357017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in WI · 3333
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1836 SOUTH AVE, La Crosse, WI 54601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa M Susmaras Phd 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Teresa Susmaras reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Clinic Ltd
Same address
Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
NPI 1851343115 (608) 782-7300
Gundersen Lutheran Medical Center, Inc
Same address
Clinic/Center
710 DENTON ST
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1619210895 (608) 782-7300
Madison Neuropsychological Services LLC
102 mi
Clinical Neuropsychologist
6510 GRAND TETON PLZ STE 102, STE 24
Madison, WI 53719
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1982064366 (608) 841-1606

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
57 services27 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
28 services27 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
27 services27 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
13 services13 patients

Other Providers at the Same Location NPPES 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA NP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU NP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Teresa Susmaras's NPI number?

The NPI number for Teresa Susmaras is 1710357017. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Teresa Susmaras located?

Teresa Susmaras practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Teresa Susmaras's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Teresa Susmaras enrolled in Medicare?

Yes. Teresa Susmaras is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Teresa Susmaras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Susmaras reassigns Medicare benefits to 3 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI) and Madison Neuropsychological Services LLC (Madison, WI). 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 Teresa Susmaras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Susmaras accept?

Health plans from Dean Health Plan and Quartz list Teresa Susmaras 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 Teresa Susmaras was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.