MRS. SUSAN RENAE CARLTON ARNP
NPI 1710684105
Nurse Practitioner - Family in Rochester, WA

Active since February 15, 2023PECOS EnrolledAccepts Medicare Assignment
18313 PAULSON ST SW STE A, ROCHESTER, WA 98579(360) 827-8400 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Susan Renae Carlton Arnp NPPES

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

MRS. SUSAN RENAE CARLTON ARNP (NPI 1710684105) is an individual family provider in Rochester, Washington, licensed in Washington (AP61410451) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710684105
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN RENAE CARLTONCredential: ARNP
Location Address18313 PAULSON ST SW STE ARochester, WA 98579-9262
Mailing Address18313 Paulson St Sw Ste ARochester, WA 98579-9262 · (360) 827-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 15, 2023
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1710684105 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 WA · AP61410451
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP61410451 (WA)
18313 PAULSON ST SW STE A, Rochester, WA 98579

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Susan Renae Carlton Arnp 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 ID8921473208
PECOS Enrollment IDI20230419001723
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

2

Medicare enrollment records show Susan Carlton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
18313 PAULSON ST SW, SUITE A
Rochester, WA 98579
  • Reassigned Medicare billing, Washington enrollment
  • 24 clinicians in this Medicare group
Rural Health
1010 S SCHEUBER RD
Centralia, WA 98531
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98579 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 4

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

Nurse Practitioner (Family)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Pharmacist
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Clinical Medical Laboratory
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Social Worker (Clinical)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579

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 Carlton's NPI number?

The NPI number for Susan Carlton is 1710684105. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Susan Carlton located?

Susan Carlton practices at 18313 Paulson St SW Ste A, Rochester, WA 98579. The listed phone number is (360) 827-8400.

What is Susan Carlton's specialty?

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

Is Susan Carlton enrolled in Medicare?

Yes. Susan Carlton 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.

Which organizations bill Medicare for Susan Carlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Carlton reassigns Medicare benefits to 2 organizations: Providence Health & Services - Washington (Rochester, WA) and Providence Health & Services Washington (Centralia, WA). 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 Susan Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Carlton accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Susan Carlton 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.

Is Susan Carlton affiliated with any hospitals?

According to CMS data, Susan Carlton is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Susan Carlton was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.