SUSAN TRACY WOLGAMOTT DNP
NPI 1760894638
Nurse Practitioner - Family in Bloomfield Township, MI
About Susan Tracy Wolgamott Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN TRACY WOLGAMOTT DNP (NPI 1760894638) is an individual family provider in Bloomfield Township, Michigan, licensed in Michigan (4704191164) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of University Of Michigan Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
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
Susan Tracy Wolgamott Dnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Susan Wolgamott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Owensboro, KY 42303
- Reassigned Medicare billing, Kentucky enrollment
- 125 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Owensboro Health Regional Hospital
Acute Care Hospitals · Owensboro, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wolgamott's NPI number?
The NPI number for Susan Wolgamott is 1760894638. It was assigned to this individual provider in the NPPES registry on May 28, 2014.
Where is Susan Wolgamott located?
Susan Wolgamott practices at 10 W Square Lake Rd Ste 200, Bloomfield Township, MI 48302. The listed phone number is (248) 221-1845.
What is Susan Wolgamott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Wolgamott enrolled in Medicare?
Yes. Susan Wolgamott 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 Wolgamott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wolgamott reassigns Medicare benefits to 2 organizations: Scope Medical Group PLLC (Clinton Township, MI) and Ohio County Hospital Corporation (Owensboro, KY). 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 Wolgamott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Wolgamott accept?
Health plans from Priority Health list Susan Wolgamott 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 Wolgamott affiliated with any hospitals?
According to CMS data, Susan Wolgamott is affiliated with Owensboro Health Regional Hospital.
When was this NPI record last updated?
The NPPES record for Susan Wolgamott was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Susan Tracy Wolgamott, DNP · NPI 1760894638
Family physician in Bloomfield Township, Michigan. Individual provider, active in the CMS NPPES registry since May 28, 2014.
## Identity
- **NPI:** 1760894638 (Entity type: Individual)
- **Enumerated:** May 28, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704191164 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 W SQUARE LAKE RD STE 200, Bloomfield Township, MI 48302-0467
- **Phone:** (248) 221-1845 · **Fax:** (833) 645-2176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Scope Medical Group PLLC (NPI 1841940905, Clinton Township, MI); Ohio County Hospital Corporation (NPI 1205678844, Owensboro, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2014
## Record status
- **NPPES last updated:** October 9, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1760894638) · Data from the CMS NPPES public registry.