MR. CRAIG SUSSMAN FNP-C,PMHNP
NPI 1154591030
Nurse Practitioner - Psychiatric/Mental Health in Concord, MA

Active since March 06, 2008PECOS EnrolledAccepts Medicare Assignment
111 OLD ROAD TO NINE ACRE CORNER, CONCORD, MA 01742(978) 369-1113(978) 369-0908 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Craig Sussman Fnp-c,pmhnp NPPES

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

MR. CRAIG SUSSMAN FNP-C,PMHNP (NPI 1154591030) is an individual psychiatric/mental health provider in Concord, Massachusetts, licensed in Massachusetts (RN238050) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154591030
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CRAIG SUSSMANCredential: FNP-C,PMHNP
Location Address111 OLD ROAD TO NINE ACRE CORNERConcord, MA 01742-4141
Mailing Address111 Old Road To Nine Acre CornerConcord, MA 01742-4141 · (978) 369-1113 · Fax (978) 369-0908
Fax(978) 369-0908
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 6, 2008
Last NPPES UpdateFebruary 24, 2016
NPI 1154591030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN238050
111 OLD ROAD TO NINE ACRE CORNER, Concord, MA 01742

Other Identifiers 1

Other238050MA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Craig Sussman Fnp-c,pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577710813
PECOS Enrollment IDI20120822000039
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
136 services42 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
91 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Craig Sussman's NPI number?

The NPI number for Craig Sussman is 1154591030. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Craig Sussman located?

Craig Sussman practices at 111 Old Road To Nine Acre Corner, Concord, MA 01742. The listed phone number is (978) 369-1113.

What is Craig Sussman's specialty?

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

Is Craig Sussman enrolled in Medicare?

Yes. Craig Sussman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Craig Sussman was last updated on February 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.