MRS. SUSAN KATHLEEN REDOVIAN CNP
NPI 1740489848
Nurse Practitioner - Family in Greenville, SC

Q: What is Susan Redovian's NPI number?

The NPI number for Susan Redovian is 1740489848. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Susan Redovian'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 Redovian was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 17, 2007PECOS Enrolled

2210 LAURENS RD, GREENVILLE, SC 29607(330) 284-2010 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2018, Nov 3, 2018, Apr 28, 2017 (3 updates tracked since 2017).

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About Mrs. Susan Kathleen Redovian Cnp NPPES

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

MRS. SUSAN KATHLEEN REDOVIAN CNP (NPI 1740489848) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (22282) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740489848

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SUSAN KATHLEEN REDOVIANCredential: CNP

Location Address2210 LAURENS RDGreenville, SC 29607-3224

Mailing Address232 Montalcino WaySimpsonville, SC 29681-6631 · (330) 284-2010

Phone(330) 284-2010

Sole ProprietorNo

Enumeration DateJuly 17, 2007

Last NPPES UpdateDecember 28, 20183 updates tracked since enumeration

✔ NPI 1740489848 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 SC · 22282

2210 LAURENS RD, Greenville, SC 29607

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Other Identifiers 1

Medicaid2813763OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Kathleen Redovian Cnp 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 29607 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

MARY KATELYN HODGES NP

Nurse Practitioner (Family)