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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: August 02, 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, Medica.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)

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.

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 APNP
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 APNP
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.

What insurance does Susan Maclellan-tobert accept?

Health plans from Group Health Cooperative-SCW and Medica 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.