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Active NPI 1487405221 Individual Practitioner Female Practitioner

Dr. Susan Debolt , DNP

Nurse Practitioner • Apple Valley, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Debolt, DNP is a certified Nurse Practitioner practicing in Apple Valley, MN. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Debolt delivers high-quality medical care to the local community at 15350 ENGLISH AVE.

Dr. Debolt maintains professional affiliations with Urology Specialists Chartered, Group Health Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15350 English Ave

Apple Valley, MN 55124

Telephone 9524318500
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1801957717

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Apple Valley, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -4.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Apple Valley, MN (2609 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Debolt (3 Years) 3 Yrs
Apple Valley Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $406.30 $105.70

Medical Specialties & State Licenses

CMS Verified: 2024-10-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 11602

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN 35114

Definition to come...

Hospital & Practice Group Affiliations

Urology Specialists Chartered

201 W 69th St, Sioux Falls, SD 571082403

Phone: 6053360635

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

15350 English Ave, Apple Valley, MN 551246252

Phone: 9524318500

Practice Associates & Co-Workers

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

33 Associated Practitioners
NPI 1043800071

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jamie Gamache , MD

Obstetrics & Gynecology

NPI 1043830730

Doctor of Medicine (M.D.)

John Boettger

Physician Assistant

NPI 1053807719
Constance Braun , FNP

Nurse Practitioner

NPI 1174598841

Family Nurse Practitioner

Jennifer Hagen

Obstetrics & Gynecology

NPI 1235626532
NPI 1245210095

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 15350 ENGLISH AVE, APPLE VALLEY, MN 55124 (Tel: 9524318500)

📍
Updated Business Mailing Address October 08, 2024

Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 554254516

📍
Updated Business Mailing Address July 02, 2024

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163 (Tel: 9529677250)

NPI Profile Active March 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2024

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163 (Tel: 9529677250)

📍
Updated Business Mailing Address March 29, 2024

Registered at 4915 TIMBERDALE DR, NASHVILLE, TN 372115119 (Tel: 7153409969)

👤
Provider Name / Credentials Updated March 29, 2024

Recorded as SUSAN DEBOLT, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Nurse Practitioner (License #35114 in TN)

🟢
Initial NPI Registration & Enumeration March 29, 2024

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: 1487405221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2024
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

8170 33rd Ave S, Ms 21110q

Bloomington, MN 554254516

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.