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SUSAN RUETER MCGINLEY CRNP
NPI 1972519619
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BOULEVARD, 2ND FLOOR WEST PAVILLION, PHILADELPHIA, PA 19104(215) 615-2222(215) 875-4865 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Rueter Mcginley Crnp NPPES

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

SUSAN RUETER MCGINLEY CRNP (NPI 1972519619) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP007257) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1972519619
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN RUETER MCGINLEYCredential: CRNP
Location Address3400 CIVIC CENTER BOULEVARD, 2ND FLOOR WEST PAVILLIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Boulevard, 2nd Floor West PavillionPhiladelphia, PA 19104-5127 · (215) 615-2222 · Fax (215) 875-4865
Phone(215) 615-2222
Fax(215) 875-4865
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1972519619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP007257
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Lombard St, Ste 206Philadelphia, PA 19146-1414 · Phone (215) 615-2222 · Fax (215) 893-7317

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 Rueter Mcginley Crnp 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 ID1951306687
PECOS Enrollment IDI20061002000153
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

2

Medicare enrollment records show Susan Mcginley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Surgery
3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1053447151 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1033507157 (215) 662-2626
Lancaster General Medical Group
1.1 mi
Family Medicine
1800 LOMBARD ST STE 206
Philadelphia, PA 19146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1154883171 (215) 615-2222

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

LIZA THOMAS CRNP
Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2891
DR. ANASTASSIA AMARO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
HAMDEE Y ATTALLAH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
TRACY S D'ENTREMONT MD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-5858
DR. JOSHUA DANIEL BRANDSTADTER M.D., PHD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3681
NICHOLAS ALEXANDER BEAM
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0063
MICHAEL S PARMACEK MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DR. WILLIAM DAVID SCHWEICKERT MD
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3202

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 Mcginley's NPI number?

The NPI number for Susan Mcginley is 1972519619. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Susan Mcginley located?

Susan Mcginley practices at 3400 Civic Center Boulevard 2nd Floor West Pavillion, Philadelphia, PA 19104. The listed phone number is (215) 615-2222.

What is Susan Mcginley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Mcginley enrolled in Medicare?

Yes. Susan Mcginley 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 Mcginley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mcginley reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Lancaster General Medical Group (Philadelphia, PA). 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 Mcginley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Mcginley was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.