DR. SUSAN HEFFELFINGER PH.D
NPI 1871736355
Psychologist - Clinical in Dixon, IL

Q: What is Susan Heffelfinger's NPI number?

The NPI number for Susan Heffelfinger is 1871736355. It was assigned to this individual provider in the NPPES registry on April 13, 2009. The provider is also known as Susan Heffelfinger Nag Ph.D.

Q: What is Susan Heffelfinger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 13, 2009PECOS Enrolled

82.13/100

CMS Quality Rating

159 GRAND OAKS LN, DIXON, IL 61021(847) 477-2297 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Sep 18, 2024, Jan 21, 2022 (3 updates tracked since 2022).

On this page

About Dr. Susan Heffelfinger Ph.d NPPES

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

DR. SUSAN HEFFELFINGER PH.D (NPI 1871736355) is an individual clinical provider in Dixon, Illinois, licensed in Illinois (071-006675) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871736355

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN HEFFELFINGERCredential: PH.D

Location Address159 GRAND OAKS LNDixon, IL 61021-3244

Mailing Address159 Grand Oaks LnDixon, IL 61021-3244 · (847) 477-2297

Phone(847) 477-2297

Sole ProprietorNo

Enumeration DateApril 13, 2009

Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1871736355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-006675

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 071006675 (IL)

159 GRAND OAKS LN, Dixon, IL 61021

Open in Google Maps ↗

Other Names 1

Former Name (1)Susan Heffelfinger Nag Ph.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Susan Heffelfinger Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

82.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.8

Promoting Interoperability

Improvement Activities

Cost

66.07

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 Heffelfinger's NPI number?

The NPI number for Susan Heffelfinger is 1871736355. It was assigned to this individual provider in the NPPES registry on April 13, 2009. The provider is also known as Susan Heffelfinger Nag Ph.D.

Where is Susan Heffelfinger located?

Susan Heffelfinger practices at 159 Grand Oaks Ln, Dixon, IL 61021. The listed phone number is (847) 477-2297.

What is Susan Heffelfinger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Susan Heffelfinger enrolled in Medicare?

Yes. Susan Heffelfinger is registered in the Medicare PECOS enrollment system.

What insurance does Susan Heffelfinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Susan Heffelfinger 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 Susan Heffelfinger was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.