Dr Susan Debolt, DNP in Apple Valley, MN - Medicare Nurse Practitioner

Dr Susan Debolt, DNP is a medicare enrolled "Nurse Practitioner" in Apple Valley, Minnesota. Her current practice location is 15350 English Ave, Apple Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 431-8500.

Dr Susan Debolt is licensed to practice in Minnesota (license number 11602) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487405221.

Contact Information

	Dr Susan Debolt, DNP
	15350 English Ave, Apple Valley, MN 55124
	(952) 431-8500
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Susan Debolt
Gender	Female
Speciality	Nurse Practitioner
Location	15350 English Ave, Apple Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487405221
Provider Enumeration Date: 03/29/2024
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8022552876
Enrollment ID: I20240703001820

Medical Identifiers

Medical identifiers for Dr Susan Debolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487405221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	35114 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	11602 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Susan Debolt allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Debolt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Susan Debolt, DNP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Dr Susan Debolt, DNP 15350 English Ave, Apple Valley, MN 55124 Ph: (952) 431-8500

Reviews and Comments

Nurse Practitioner Nurses in Apple Valley, MN

Alyssa Kong, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500
Gail Turnberg, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124 Phone: 952-432-4373 Fax: 952-997-5679
Tracy Mueller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15560 Pilot Knob Rd, Apple Valley, MN 55124 Phone: 952-236-3166
Dr. Laural Mokonchu, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12826 Glen Ct, Apple Valley, MN 55124 Phone: 612-990-7558
Hilary Armstrong Winkelmann, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7300 W 147th Street, Suite 204, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026
Seth Daniel Hartman, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779
Sarah Thompson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 Fax: 651-241-3825

Dr Susan Debolt, DNP - Medicare Nurse Practitioner in Apple Valley, MN