Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Debolt, DNP

Individual provider Family Nurse Practitioner · NPI 1487405221

Dr. Susan Debolt, DNP is a Nurse Practitioner in Apple Valley, Minnesota. Qualified in 2023, 3 years ago. Practices with Urology Specialists Chartered, a 47-clinician group and accepts Medicare assignment. Licensed in Minnesota and Tennessee.

Years since qualifying
3
Licensed in
MN, TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

15350 English Ave
Apple Valley, MN 55124
Phone: (952) 431-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11602 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 35114 (TN)

Record details

NPI number1487405221
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 4, 2024
Mailing address8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Urology Specialists Chartered — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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