IndividualActive
Susan Ivancic, RN, BSN, CDE, SNIV
NPI 1083751192 · Case Management Registered Nurse · San Rafael, CA
Provider details
- NPI number
- 1083751192
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, BSN, CDE, SNIV
- Sex
- Female
- Sole proprietor
- Yes
- License
- 172329 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2575
Fax: (415) 444-4622
Street-level locationGet directions
Mailing address
99 Montecillo Rd
San Rafael, CA 94903-3308
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.