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MRS. SUSAN JANE NOLAN PA-C
NPI 1104121243
Physician Assistant - Medical in Port Charlotte, FL

Active since January 21, 2011PECOS Enrolled
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980(941) 235-4900(941) 235-4901 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Mar 29, 2021, Oct 6, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Susan Jane Nolan Pa-c NPPES

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

MRS. SUSAN JANE NOLAN PA-C (NPI 1104121243) is an individual medical provider in Port Charlotte, Florida, licensed in Florida (PA9105671) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104121243
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SUSAN JANE NOLANCredential: PA-C
Location Address22655 BAYSHORE RD STE 110Port Charlotte, FL 33980-2005
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6202 · Fax (239) 437-8537
Phone(941) 235-4900
Fax(941) 235-4901
Sole ProprietorNo
Enumeration DateJanuary 21, 2011
Last NPPES UpdateJune 27, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1104121243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9105671
22655 BAYSHORE RD STE 110, Port Charlotte, FL 33980
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19400 Gladiolus Drive, Suite 250Fort Myers, FL 33908-7600 · Phone (239) 689-5100 · Fax (239) 689-5107
Location 216410 Healthpark Commons DrFort Myers, FL 33908 · Phone (239) 343-6202 · Fax (239) 437-8537

Other Identifiers 1

Medicaid004409300FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Jane Nolan Pa-c 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREAS H WERLE M.D.
Otolaryngology (Pediatric Otolaryngology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. PAMELA PAPOLA M.D.
Pediatrics (Neurodevelopmental Disabilities)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. MARY C SOKOLOSKI MD
Pediatrics (Pediatric Cardiology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
DR. VIRAINE S WEERASOORIYA MD
Pediatrics (Pediatric Gastroenterology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
SOPHIA FRENCH M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
JOSE COLON MD
Psychiatry & Neurology (Sleep Medicine)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
ASLAM HYDER QURESHI
Pediatrics (Pediatric Nephrology)
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (941) 235-4900
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL 33980
Charlotte County (412) 354-9009

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 Nolan's NPI number?

The NPI number for Susan Nolan is 1104121243. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Where is Susan Nolan located?

Susan Nolan practices at 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980. The listed phone number is (941) 235-4900.

What is Susan Nolan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Nolan enrolled in Medicare?

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

What insurance does Susan Nolan accept?

Health plans from AvMed list Susan Nolan 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 Nolan was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.