Look up the most recent NPI and PECOS records

Susan June Young Tripodi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3343 W Central Ave, Wichita, KS 67203-4917

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN TRIPODI.

Based on the most recent information from CMS, provider Susan June Young Tripodi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1962119974
Provider Type
Individual
Full Name
Tripodi, Susan June Young
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2022
Last Updated
10/30/2023

Contact Information

Practice Location

3343 W Central Ave, Wichita, KS 67203-4917

(316) 260-4110

Unlisted Fax

Mailing Location

3343 W Central Ave, Wichita, KS 67203-4917

(316) 260-4110

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 53-81076-092 Kansas

Susan June Young Tripodi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kendall, Roxan A

Nkouga, Sandrine

Hermes, Jayne Lou

Webb, Micha

Watts, Kristin

Nisly, Jennifer Jeannine

Kaljumaa, Lara Lenea

Barton, Melissa A

Bowman, Courtney Jean

Benvin, Leslie