SUSAN KAY BARNINGHAM RN, CNP
NPI 1992033773
Nurse Practitioner - Adult Health in Ashland, WI

Active since December 07, 2009PECOS EnrolledAccepts Medicare Assignment
1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806(715) 685-7500 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Kay Barningham Rn, Cnp NPPES

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

SUSAN KAY BARNINGHAM RN, CNP (NPI 1992033773) is an individual adult health provider in Ashland, Wisconsin, licensed in Wisconsin (139258-30) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992033773
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN KAY BARNINGHAMCredential: RN, CNP
Location Address1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINICAshland, WI 54806-3610
Mailing Address1615 Maple Ln Ste 1, Essentia Health Ashland ClinicAshland, WI 54806-3610 · (715) 685-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 7, 2009
Last NPPES UpdateMay 23, 2016
NPI 1992033773 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 WI · 139258-30
1615 MAPLE LN STE 1, Ashland, WI 54806

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 Kay Barningham Rn, Cnp 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 ID9537201256
PECOS Enrollment IDI20100119000450
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.

Areas of Expertise CMS Part B claims 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
97 services45 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
84 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
65 services34 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
45 services23 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services23 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims33 services$6.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Physician Assistant
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Family Medicine (Hospice and Palliative Medicine)
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Nurse Practitioner (Adult Health)
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Internal Medicine
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Surgery
1615 MAPLE LN STE 1
ASHLAND, WI 54806
Clinic/Center (Multi-Specialty)
1615 MAPLE LN STE 1
ASHLAND, WI 54806

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 Barningham's NPI number?

The NPI number for Susan Barningham is 1992033773. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Susan Barningham located?

Susan Barningham practices at 1615 Maple Ln Ste 1 Essentia Health Ashland Clinic, Ashland, WI 54806. The listed phone number is (715) 685-7500.

What is Susan Barningham's specialty?

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

Is Susan Barningham enrolled in Medicare?

Yes. Susan Barningham 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 Barningham accept?

Health plans from Aspirus Health Plan, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Susan Barningham 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.

Is Susan Barningham affiliated with any hospitals?

According to CMS data, Susan Barningham is affiliated with Tamarack Health Hayward Medical Center and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Barningham was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.