SUSAN MARIA LAVELLE NP
NPI 1124226931
Nurse Practitioner - Community Health in Guerneville, CA
NPI Status: Active since July 03, 2007
Contact Information
16319 THIRD STREET
GUERNEVILLE, CA
ZIP 95446
Phone: (707) 869-2849
Fax: (707) 869-1477
- Individual
- Female
- Nurse Practitioner
- Community Health
- PECOS Enrolled
- Opted-Out Medicare
About SUSAN LAVELLE
This page provides the complete NPI Profile along with additional information for Susan Lavelle, a provider established in Guerneville, California with a medical specialization in Nurse Practitioner, focusing in community health . The healthcare provider is registered in the NPI registry with number 1124226931 assigned on July 2007. The practitioner's primary taxonomy code is 363LC1500X with license number NP 17209 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1124226931
- Provider Name
- SUSAN MARIA LAVELLE NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 16319 THIRD STREET GUERNEVILLE, CA 95446
- Location Phone
- (707) 869-2849
- Location Fax
- (707) 869-1477
- Mailing Address
- 8690 PETALUMA HILL RD PENNGROVE, CA 94951
- Mailing Phone
- (707) 992-0030
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Susan Lavelle is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Susan Lavelle opted out of Medicare effective on 09-21-2022 until 09-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Community Health
- Taxonomy Code
- 363LC1500X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP 17209
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Susan Lavelle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-21-2022
Opt-Out End Date: 09-21-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95446 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.16
- Minimum New Patient Price $63.04
- Maximum New Patient Price $187.01
- Average New Patient Copayment $24.04
- Minimum New Patient Copayment $15.76
- Maximum New Patient Copayment $46.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $109.88
- Minimum Established Patient Price $21.02
- Maximum Established Patient Price $153.4
- Average Established Patient Copayment $27.47
- Minimum Established Patient Copayment $5.25
- Maximum Established Patient Copayment $38.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 2 | 2 | 6 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 4 | 2 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 4 + 2 + 1 + 2 + 9 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1124226931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114923745 | DR. SUSAN SKOLEK PSYD Individual | Psychologist | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1780680314 | DR. WALTER KRAMPF MD Individual | Internal Medicine | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1265449797 | MARY WYMAN FNP Individual | Nurse Practitioner (Family) | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1548415508 | JUDE FOX Individual | Physician Assistant (Medical) | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-5977 |
| 1689671968 | DR. STEVEN BROMER MD Individual | Family Medicine | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1134135924 | SURANI HAYRE-KWAN FNP Individual | Nurse Practitioner (Family) | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1558528349 | DR. DEETTE DEVILLE M.D. Individual | Family Medicine | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
| 1528072386 | WEST COUNTY HEALTH CENTERS, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-5977 |
| 1982854618 | JERROLD PAUL ELLIOTT III PA-C Individual | Physician Assistant (Medical) | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-5977 |
| 1962728550 | DR. JARED NIKOLAUS GARRISON-JAKEL MD Individual | Family Medicine | 16319 THIRD STREET GUERNEVILLE, CA 95446 (707) 869-2849 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124226931, enumerated in the NPI registry as an "individual" on July 03, 2007
The provider is located at 16319 Third Street Guerneville, Ca 95446 and the phone number is (707) 869-2849
The provider's speciality is Nurse Practitioner with taxonomy code 363LC1500X with a focus in Community Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.16 with an average copayment of $24.04 for new patient appointments. Established patients should expect a typical charge of $109.88 and an average copayment of 27.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on September 21, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 21, 2026.
This NPI record was last updated on July 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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