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

Susan Marie Wcislak, MD

Individual provider Surgery Physician · NPI 1477963270

Susan Marie Wcislak, MD is a General Surgery in Fort Collins, Colorado. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2014, 12 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Colorado and Ohio.

Years since qualifying
12
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
AZ, CO, OH
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2121 E Harmony Rd Ste 2200
Fort Collins, CO 80528-3400
Phone: (970) 482-6456
Fax: (970) 482-3921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 — (480) 454-8182
  • 9500 Euclid Ave # F20, Cleveland, OH 44195-0001 — (216) 218-1883

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0071443 (CO)
Surgery Physician Taxonomy 208600000X · Licence 35.135605 (OH)
Surgery Physician Taxonomy 208600000X · Licence 60454 (AZ)

Record details

NPI number1477963270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2014 (12 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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