Susan Blosser
Nurse Practitioner, Family in Elgin, IL. Individual provider (NPI-1).
NPI number1497201172
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1497201172
- Entity type
- Individual (NPI-1)
- Name
- Susan Blosser
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2016
- Last updated
- Aug 31, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.014702041.370959 | IL | Yes |
Practice location
1425 N Randall RdElgin, IL 60123-2300
Phone 847-742-9800
Mailing address
2216 Crystal CirCrystal Lake, IL 60012-2210
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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