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Deactivated NPI 1164784740 Deactivated / Inactive NPI Female Practitioner

Susan M Suttle , NP

Nurse Practitioner • Carbondale, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Suttle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 11, 2012
NPI Deactivation Date February 10, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Susan Suttle, NP was a registered Nurse Practitioner practicing in Carbondale, IL. Throughout an active medical career spanning 10 years, Susan Suttle provided care at the practice location at 405 W JACKSON ST until profile deactivation on 2022-02-10.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, hospital observation care on day of discharge. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

405 W Jackson St

Carbondale, IL 629011462

Telephone 6185490721
Fax 6185290479
Associated Practice Facility / Clinic
🏢 Brigham Anesthesia South Llc Facility NPI 1699769232

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
64 Specialists

Practicing in Carbondale, IL (4929 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
97 47 $110.00 $61.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
61 37 $158.00 $89.55
99239 Hospital discharge day management, more than 30 minutes
60 55 $163.00 $91.06
99217 Hospital observation care on day of discharge
18 18 $111.00 $62.21

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209009562

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lukas Ward , PA

Physician Assistant

NPI 1003466269

Physician Assistant

Dr. Rupal Parmar , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003846247

Doctor of Medicine (M.D.)

Dr. Scott Cooper , MD

Emergency Medicine

NPI 1003999228

Doctor of Medicine (M.D.)

NPI 1013112283

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Britney Arnold , PA-C

Physician Assistant

NPI 1013342039

Physician Assistant (Certified)

Bradley Brush , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1013985613

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active August 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2016

Registered at 405 W JACKSON ST, CARBONDALE, IL 629011462 (Tel: 6185490721)

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Updated Business Mailing Address August 19, 2016

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6184575200)

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Provider Name / Credentials Updated August 19, 2016

Recorded as SUSAN SUTTLE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2016

Nurse Practitioner (License #209009562 in IL)

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Initial NPI Registration & Enumeration June 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164784740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2012
Last Update: August 19, 2016
Deactivation Date: February 10, 2022

Mailing Address

Po Box 1105

Indianapolis, IN 462061105

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.