SUSANNA LOCKWOOD LILJENSTOLPE FNP
NPI 1992224513
Nurse Practitioner in Surprise, AZ

Q: What is Susanna Liljenstolpe's NPI number?

The NPI number for Susanna Liljenstolpe is 1992224513. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Q: What is Susanna Liljenstolpe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 14, 2017PECOS EnrolledAccepts Medicare Assignment

12361 W BOLA DR STE 100, SURPRISE, AZ 85378(602) 698-7325(480) 500-8430 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Oct 24, 2022, Sep 1, 2022 and 3 more (6 updates tracked since 2017).

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About Susanna Lockwood Liljenstolpe Fnp NPPES

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

SUSANNA LOCKWOOD LILJENSTOLPE FNP (NPI 1992224513) is an individual nurse practitioner in Surprise, Arizona, licensed in Arizona (265155) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992224513

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSANNA LOCKWOOD LILJENSTOLPECredential: FNP

Location Address12361 W BOLA DR STE 100Surprise, AZ 85378-9021

Mailing Address12361 W Bola Dr Ste 100Surprise, AZ 85378-9021 · (602) 698-7325 · Fax (480) 500-8430

Phone(602) 698-7325

Fax(480) 500-8430

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 14, 2017

Last NPPES UpdateSeptember 11, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1992224513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 265155

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12361 W BOLA DR STE 100, Surprise, AZ 85378

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Sanford Health Plan and more.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

Susanna Lockwood Liljenstolpe Fnp 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 ID6507264801

PECOS Enrollment IDI20211015002354

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 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

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 13

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

STEPHEN TROY SMITH MD

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