SUSAN A SOUTHARD CRNP
NPI 1811063183
Nurse Practitioner - Adult Health in Philadelphia, PA
About Susan A Southard Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN A SOUTHARD CRNP (NPI 1811063183) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (VP002019C) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan A Southard Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Southard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 752 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Southard's NPI number?
The NPI number for Susan Southard is 1811063183. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Susan Southard located?
Susan Southard practices at 3701 Market St 6th Floor Suite 640, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.
What is Susan Southard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Susan Southard enrolled in Medicare?
Yes. Susan Southard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Southard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Southard reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Southard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Southard was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 A Southard, CRNP · NPI 1811063183
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1811063183 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** VP002019C (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 MARKET ST, 6TH FLOOR SUITE 640, Philadelphia, PA 19104-5502
- **Phone:** (215) 662-2250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1386751089, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2007
- **Other identifiers:** Medicare UPIN P24404 (PA); Medicare PIN 045430F15 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811063183) · Data from the CMS NPPES public registry.