SUSAN M BAILEY CNP
NPI 1851643472
Nurse Practitioner - Adult Health in Circleville, OH
About Susan M Bailey Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN M BAILEY CNP (NPI 1851643472) is an individual adult health provider in Circleville, Ohio, licensed in Ohio (COA.13813-NP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Berger Hospital, and is a graduate of Ohio State University College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 M Bailey Cnp 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 Reassignment
Medicare enrollment records show Susan Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 3,314 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 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berger Hospital
Acute Care Hospitals · Circleville, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CIRCLEVILLE, OH 43113
CIRCLEVILLE, OH 43113
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 Bailey's NPI number?
The NPI number for Susan Bailey is 1851643472. It was assigned to this individual provider in the NPPES registry on October 5, 2012.
Where is Susan Bailey located?
Susan Bailey practices at 1180 N Court St, Circleville, OH 43113. The listed phone number is (740) 420-8030.
What is Susan Bailey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Susan Bailey enrolled in Medicare?
Yes. Susan Bailey 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 organization bills Medicare for Susan Bailey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Bailey reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). 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 Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Bailey accept?
Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Susan Bailey 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 Bailey affiliated with any hospitals?
According to CMS data, Susan Bailey is affiliated with Berger Hospital.
When was this NPI record last updated?
The NPPES record for Susan Bailey was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 M Bailey, CNP · NPI 1851643472
Adult Health physician in Circleville, Ohio. Individual provider, active in the CMS NPPES registry since October 5, 2012.
## Identity
- **NPI:** 1851643472 (Entity type: Individual)
- **Enumerated:** October 5, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** COA.13813-NP (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1180 N COURT ST, Circleville, OH 43113-1397
- **Phone:** (740) 420-8030 · **Fax:** (740) 477-8480
## 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:** Ohiohealth Corporation (NPI 1407292105, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** January 25, 2022
- **Other identifiers:** Other 1851643472 (OH); Medicaid 0074586 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1851643472) · Data from the CMS NPPES public registry.