SUSAN M WALDRON NP
NPI 1366605511
Nurse Practitioner in Newark, DE
NPI Status: Active since July 08, 2008
Contact Information
200 HYGEIA DR
UNIT A
NEWARK, DE
ZIP 19713
Phone: (302) 623-0200
Fax: (302) 623-0275
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About SUSAN WALDRON
This page provides the complete NPI Profile along with additional information for Susan Waldron, a provider established in Newark, Delaware with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1366605511 assigned on July 2008. The practitioner's primary taxonomy code is 363L00000X with license number LJ00000110 (DE). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1366605511
- Provider Name
- SUSAN M WALDRON NP
- Other Name
- SUSAN M WENZELL NP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 HYGEIA DR UNIT A NEWARK, DE 19713
- Location Phone
- (302) 623-0200
- Location Fax
- (302) 623-0275
- Mailing Address
- 200 HYGEIA DR UNIT A NEWARK, DE 19713
- Mailing Phone
- (302) 623-0200
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2008
- Last Update Date
- 02-14-2012
- Code Navigator
A nurse practitioner (NP) like Susan Waldron 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.
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
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- LJ00000110
- License State
- DE
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | LJ-0000110 (DE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 128841YZH | MEDICARE PIN (08) | DE |
Medicare Participation & PECOS Enrollment Status
Susan Waldron 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
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 19713 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* 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 | 3 | 6 | 6 | 6 | 0 | 5 | 5 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 12 | 0 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 2 + 0 + 1 + 0 + 5 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1366605511 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053311746 | MR. JAMES ANTHONY NERI PT Individual | Physical Therapist | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0390 |
| 1962489377 | ALFRED FLETCHER MD Individual | Family Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1871570283 | BARBARA HAMMING MD Individual | Family Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1316925134 | YVONNE TING MD Individual | Family Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0200 |
| 1982682886 | ELIZABETH A JACKOVIC DO Individual | Family Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1790763696 | MARY KOBAK MD Individual | Family Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1992783716 | JOHN OTTO OD Individual | Optometrist | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1992783757 | PAUL NICHOLASEN MD Individual | Internal Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1407827249 | TONY BIANCHETTA MD Individual | Internal Medicine | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0220 |
| 1821064064 | JOHN A DONNELLY MD Individual | Internal Medicine | 200 HYGEIA DR UNIT A NEWARK, DE 19713 (302) 623-0100 |
| 1023060746 | DR. MARC T ZUBROW MD Individual | Internal Medicine (Pulmonary Disease) | 200 HYGEIA DR ROOM 2470 NEWARK, DE 19713 (302) 623-0616 |
| 1417993189 | CHRISTIANA CARE HEALTH INITIATIVES Organization | Radiology (Diagnostic Radiology) | 200 HYGEIA DR SUITE 2300 NEWARK, DE 19713 (302) 623-7153 |
| 1013944594 | ANN DUCH Individual | Physical Therapist | 200 HYGEIA DR PT PLUS NEWARK, DE 19713 (302) 623-0390 |
| 1356372874 | MR. KEVIN R BAILEY PT, MPT, SCS, ATC Individual | Physical Therapist | 200 HYGEIA DR CHRISTIANA CARE PT PLUS NEWARK, DE 19713 (302) 623-0390 |
| 1982635405 | ANGELA CROUCH Individual | Physical Therapist | 200 HYGEIA DR PT PLUS NEWARK, DE 19713 (302) 623-0390 |
| 1609807577 | CHRISTIANA CARE HEALTH INITIATIVES, INC Organization | Physical Therapist | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0390 |
| 1710906730 | LINEN J POK OD Individual | Optometrist | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0100 |
| 1225108327 | CHRISTIANA CARE HEALTH INITIATIVES, INC. Organization | Home Infusion | 200 HYGEIA DR SUITE 240 NEWARK, DE 19713 (302) 623-0345 |
| 1194927764 | DAWN ELLEN HIROKAWA M.D., MPH Individual | Dermatology | 200 HYGEIA DR UNIT D NEWARK, DE 19713 (302) 623-0100 |
| 1982892642 | MR. BRIAN PATRICK MATSON MPT Individual | Physical Therapist | 200 HYGEIA DR NEWARK, DE 19713 (302) 623-0390 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366605511, enumerated in the NPI registry as an "individual" on July 08, 2008
The provider is located at 200 Hygeia Dr Unit A Newark, De 19713 and the phone number is (302) 623-0200
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Aetna CVS Health, AmeriHealth Caritas Next,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $88.37 with an average copayment of $22.09 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 08, 2008. 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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