SUSANNAH HOLT
NPI 1801624093
Nurse Practitioner - Family in Mansfield, LA

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
1121 POLK ST, MANSFIELD, LA 71052(318) 575-2143 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susannah Holt NPPES

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

SUSANNAH HOLT (NPI 1801624093) is an individual family provider in Mansfield, Louisiana, licensed in Louisiana (208255) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801624093
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANNAH HOLT
Location Address1121 POLK STMansfield, LA 71052-2524
Mailing AddressPo Box 306416Nashville, TN 37230-6416
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1801624093 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 LA · 208255
1121 POLK ST, Mansfield, LA 71052

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

Susannah Holt 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 ID1759822893
PECOS Enrollment IDI20240917002470
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 Susannah Holt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
907 POLK ST
Mansfield, LA 71052
  • Reassigned Medicare billing, Louisiana enrollment
  • 18 clinicians in this Medicare group
Urgent Care
2640 COUNTRY CLUB RD, SUITE 400
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • 314 clinicians in this Medicare group
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Louisiana enrollment
  • 163 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.

Areas of Expertise CMS Part B claims

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
29 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71052 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
1121 POLK ST
MANSFIELD, LA 71052

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 Susannah Holt's NPI number?

The NPI number for Susannah Holt is 1801624093. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Susannah Holt located?

Susannah Holt practices at 1121 Polk St, Mansfield, LA 71052. The listed phone number is (318) 575-2143.

What is Susannah Holt's specialty?

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

Is Susannah Holt enrolled in Medicare?

Yes. Susannah Holt 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 Susannah Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Holt reassigns Medicare benefits to 3 organizations: Council For Advancement Of Social Service And Education (Mansfield, LA), Calcasieu Urgent Care LLC (Lake Charles, LA) and Upperline Healthcare, PC (Hoover, AL). 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 Susannah Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susannah Holt accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Susannah Holt 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 Susannah Holt was last updated on July 22, 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.