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SUSAN HERENA ACNP
NPI 1851721583
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since November 15, 2013PECOS EnrolledAccepts Medicare Assignment
ONE CITYPLACE DRIVE, SUITE 570, SAINT LOUIS, MO 63141(314) 514-6000(866) 497-1239 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Herena Acnp NPPES

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

SUSAN HERENA ACNP (NPI 1851721583) is an individual acute care provider in Saint Louis, Missouri, licensed in New York (4182561) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851721583
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSUSAN HERENACredential: ACNP
Location AddressONE CITYPLACE DRIVE, SUITE 570Saint Louis, MO 63141-7067
Mailing Address999 Executive Parkway Dr, Suite 210Saint Louis, MO 63141-6336
Phone(314) 514-6000
Fax(866) 497-1239
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 15, 2013
Last NPPES UpdateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1851721583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in NY · 4182561✔ Licensed in NJ · 26NR15225100
ONE CITYPLACE DRIVE, Saint Louis, MO 63141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Herena Acnp 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 ID244653202
PECOS Enrollment IDI20200709000190
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services52 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 2

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

ISABELLE KOPEC M.D.
Internal Medicine (Critical Care Medicine)
ONE CITYPLACE DRIVE, SUITE 570
ST. LOUIS, MO 63141
St. Louis County (314) 514-6000
CRITICAL CARE SERVICES, P.C.
Clinic/Center (Multi-Specialty)
ONE CITYPLACE DRIVE, SUITE 570
ST. LOUIS, MO 63141
St. Louis County (314) 514-6000

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 Herena's NPI number?

The NPI number for Susan Herena is 1851721583. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Susan Herena located?

Susan Herena practices at One Cityplace Drive Suite 570, Saint Louis, MO 63141. The listed phone number is (314) 514-6000.

What is Susan Herena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Susan Herena enrolled in Medicare?

Yes. Susan Herena 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.

What insurance does Susan Herena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Susan Herena 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 Herena affiliated with any hospitals?

According to CMS data, Susan Herena is affiliated with Adventhealth Deland, Adventhealth Hendersonville and Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Susan Herena was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.