SUSAN GROSSE-MACEMON
NPI 1922060169
Nurse Practitioner - Family in W. St. Paul, MN

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107(651) 222-1816(651) 222-2226 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1922060169
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN GROSSE-MACEMON
Location Address153 CESAR CHAVEZ STW. St. Paul, MN 55107-2226
Mailing Address153 Cesar Chavez StW. St. Paul, MN 55107-2226 · (651) 222-1816 · Fax (651) 222-2226
Fax(651) 222-2226
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateApril 4, 2006
Last NPPES UpdateMay 23, 2019
NPI 1922060169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 1451
153 CESAR CHAVEZ ST, W. St. Paul, MN 55107

Other Identifiers 6

OtherHP26519MN · Health Partners
Other923911025971MN · Preferred One
Other0102292MN · Medica
Other108562MN · Ucare
Other53M29GRMN · Bcbs
Medicaid153842000MN

Accepted 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 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.

PECOS PAC ID5597806521
PECOS Enrollment IDI20100112000725
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 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT 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.

What insurance does Susan Grosse-macemon accept?

Health plans from Medica and 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.