Active NPI
Susan A Barcellos, M.D.
- Neurology Physician
- Guthrie Center, IA
National Provider Identifier
1235101015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E96747
- Practice address
- 710 N 12TH St
Guthrie Center, IA 50115-1544 - Phone
- (641) 332-2201
- Fax
- (641) 332-2276
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | E96747 | IA | Primary |
Addresses
Primary practice location
710 N 12TH St
Guthrie Center, IA 50115-1544
Mailing address
409 Silverado PT
Waukee, IA 50263-8150
Phone (515) 987-0357
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25708 | Other | IA | WELLMARK |
| IA0122 | Other | IA | JOHN DEERE |
| 3075879 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E96747 | IA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235101015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 SILVERADO PT",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638150",
"telephone_number": "515-987-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N 12TH ST",
"city": "GUTHRIE CENTER",
"state": "IA",
"postal_code": "501151544",
"telephone_number": "641-332-2201",
"fax_number": "641-332-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCELLOS",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "E96747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "25708",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IA0122",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075879",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guthrie Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.