SUSAN A MCDERMOTT PMHNP, FNP
NPI 1093088247
Nurse Practitioner - Psychiatric/Mental Health in Ballston Spa, NY

Q: What is Susan Mcdermott's NPI number?

The NPI number for Susan Mcdermott is 1093088247. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Q: What is Susan Mcdermott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Susan Mcdermott was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2012PECOS Enrolled

65.44/100

CMS Quality Rating

7 HEMPHILL PL STE 232, BALLSTON SPA, NY 12020(838) 202-4296 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Susan A Mcdermott Pmhnp, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN A MCDERMOTT PMHNP, FNP (NPI 1093088247) is an individual psychiatric/mental health provider in Ballston Spa, New York, licensed in New York (F403054-01) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093088247

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSUSAN A MCDERMOTTCredential: PMHNP, FNP

Location Address7 HEMPHILL PL STE 232Ballston Spa, NY 12020-4482

Mailing Address7 Hemphill Pl Ste 232Ballston Spa, NY 12020-4482 · (518) 588-2930

Phone(838) 202-4296

Sole ProprietorYes

Enumeration DateFebruary 20, 2012

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1093088247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F403054-01

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F337084-1 (NY)

7 HEMPHILL PL STE 232, Ballston Spa, NY 12020

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Park StreetGlens Falls, NY 12801 · Phone (518) 926-3265 · Fax (518) 926-3211

Location 21101 Nott StSchenectady, NY 12308-2425 · Phone (518) 243-4135 · Fax (518) 243-1367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan A Mcdermott Pmhnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Susan Mcdermott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saratoga Hospital

7.0 mi

General Acute Care Hospital

3 CARE LN, 300
Saratoga Springs, NY 12866

Reassigned Medicare billing, New York enrollment
456 clinicians in this Medicare group

NPI 1700120482 (518) 226-6000

Glens Falls Hospital Inc.

24 mi

Family Medicine

100 PARK ST
Glens Falls, NY 12801

Reassigned Medicare billing, New York enrollment
201 clinicians in this Medicare group

NPI 1336198217 (518) 926-6999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.37

Improvement Activities

Cost

64.8

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mcdermott's NPI number?

The NPI number for Susan Mcdermott is 1093088247. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Susan Mcdermott located?

Susan Mcdermott practices at 7 Hemphill Pl Ste 232, Ballston Spa, NY 12020. The listed phone number is (838) 202-4296.

What is Susan Mcdermott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Mcdermott enrolled in Medicare?

Yes. Susan Mcdermott is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mcdermott reassigns Medicare benefits to 2 organizations: Saratoga Hospital (Saratoga Springs, NY) and Glens Falls Hospital Inc. (Glens Falls, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Mcdermott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Mcdermott accept?

Health plans from Oscar Health list Susan Mcdermott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Mcdermott was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.