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SUSAN G MACLELLAN-TOBERT MD
NPI 1952304834
Pediatrics - Pediatric Cardiology in La Crosse, WI

Active since May 24, 2005PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2024, Oct 27, 2020, Dec 15, 2015 (3 updates tracked since 2015).

About Susan G Maclellan-tobert Md NPPES

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

SUSAN G MACLELLAN-TOBERT MD (NPI 1952304834) is an individual pediatric cardiology provider in La Crosse, Wisconsin, licensed in Wisconsin (37282) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1952304834
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameSUSAN G MACLELLAN-TOBERTCredential: MD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 782-7300
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateApril 5, 20243 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1952304834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WI · 37282
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1836 SOUTH AVE, La Crosse, WI 54601
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Secondary Practice Location 1

Location 1800 West Ave SLA Crosse, WI 54601-8806 · Phone (608) 785-0940

Other Identifiers 1

Medicaid34278900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan G Maclellan-tobert Md 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.

Medicare Billing Reassignments

9

Medicare enrollment records show Susan Maclellan-tobert reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Clinic Ltd
Same address
Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
NPI 1851343115 (608) 782-7300
Gundersen Lutheran Medical Center, Inc
Same address
Clinic/Center
710 DENTON ST
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1619210895 (608) 782-7300
Vernon Memorial Healthcare, Inc.
25 mi
Critical Access
507 S MAIN ST
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 127 clinicians in this Medicare group
NPI 1497750921 (608) 637-2101
Tri-County Memorial Hospital, Inc.
34 mi
Rural Health
420 S PETERSON AVE
Blair, WI 54616
  • Reassigned Medicare billing, Wisconsin enrollment
  • 293 clinicians in this Medicare group
NPI 1659625192 (608) 989-2505
Tomah Memorial Hospital Inc
39 mi
Critical Access
501 GOPHER DR
Tomah, WI 54660
  • Reassigned Medicare billing, Wisconsin enrollment
  • 249 clinicians in this Medicare group
NPI 1992970453 (608) 372-2181
St. Joseph's Health Services, Inc.
46 mi
Critical Access
400 WATER AVE
Hillsboro, WI 54634
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Josephs Health Services Inc
  • 282 clinicians in this Medicare group
NPI 1972591410 (608) 489-8000
Memorial Hospital Of Boscobel
53 mi
Critical Access
205 PARKER ST
Boscobel, WI 53805
  • Reassigned Medicare billing, Wisconsin enrollment
  • 299 clinicians in this Medicare group
NPI 1306804794 (608) 375-4112
Palmer Lutheran Health Center, Inc.
64 mi
Critical Access
112 JEFFERSON STREET
West Union, IA 52175
  • Reassigned Medicare billing, Wisconsin enrollment
  • 68 clinicians in this Medicare group
NPI 1891744108 (563) 422-3811
Moundview Memorial Hospital & Clinics, Inc
73 mi
Critical Access
402 W LAKE ST
Friendship, WI 53934
  • Reassigned Medicare billing, Wisconsin enrollment
  • 280 clinicians in this Medicare group
NPI 1710939533 (608) 339-3331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA NP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU NP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Maclellan-tobert's NPI number?

The NPI number for Susan Maclellan-tobert is 1952304834. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Susan Maclellan-tobert located?

Susan Maclellan-tobert practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Susan Maclellan-tobert's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Susan Maclellan-tobert enrolled in Medicare?

Yes. Susan Maclellan-tobert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Maclellan-tobert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Maclellan-tobert reassigns Medicare benefits to 9 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Vernon Memorial Healthcare, Inc. (Viroqua, WI), Tri-County Memorial Hospital, Inc. (Blair, WI), Tomah Memorial Hospital Inc (Tomah, WI) and 4 more organizations, listed in the Medicare section above. 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 Maclellan-tobert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Maclellan-tobert accept?

Health plans from Group Health Cooperative-SCW list Susan Maclellan-tobert 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 Maclellan-tobert was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.