SUSAN GROSSE-MACEMON
NPI 1922060169
Nurse Practitioner - Family in W. St. Paul, MN
About Susan Grosse-macemon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN GROSSE-MACEMON (NPI 1922060169) is an individual family provider in W. St. Paul, Minnesota, licensed in Minnesota (1451) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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 Grosse-macemon 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 Reassignments
4Medicare enrollment records show Susan Grosse-macemon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 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 55107 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.
W. ST. PAUL, MN 55107
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 Grosse-macemon's NPI number?
The NPI number for Susan Grosse-macemon is 1922060169. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is Susan Grosse-macemon located?
Susan Grosse-macemon practices at 153 Cesar Chavez St, W. St. Paul, MN 55107. The listed phone number is (651) 222-1816.
What is Susan Grosse-macemon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Grosse-macemon enrolled in Medicare?
Yes. Susan Grosse-macemon 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 Susan Grosse-macemon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Grosse-macemon reassigns Medicare benefits to 4 organizations: Fairview Clinics (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). 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 Susan Grosse-macemon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Grosse-macemon accept?
Health plans from Sanford Health Plan list Susan Grosse-macemon 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 Grosse-macemon was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Grosse-Macemon · NPI 1922060169
Family physician in W. St. Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 4, 2006.
## Identity
- **NPI:** 1922060169 (Entity type: Individual)
- **Enumerated:** April 4, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1451 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 153 CESAR CHAVEZ ST, W. St. Paul, MN 55107-2226
- **Phone:** (651) 222-1816 · **Fax:** (651) 222-2226
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1396552147, Saint Paul, MN); Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** May 23, 2019
- **Other identifiers:** Other HP26519 (MN); Other 923911025971 (MN); Other 0102292 (MN); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1922060169) · Data from the CMS NPPES public registry.