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MS. SUSAN LEMELIN
NPI 1265086706
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT

Active since August 01, 2019PECOS EnrolledAccepts Medicare Assignment
83.3/100
CMS Quality Rating
14 WESTON ST, HARTFORD, CT 06120(860) 813-1113 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2026, Sep 9, 2024, Aug 25, 2023 and 3 more (6 updates tracked since 2019).

About Ms. Susan Lemelin NPPES

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

MS. SUSAN LEMELIN (NPI 1265086706) is an individual psychiatric/mental health provider in Hartford, Connecticut, licensed in Connecticut (8450) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265086706
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SUSAN LEMELIN
Location Address14 WESTON STHartford, CT 06120-1504
Mailing Address17 S Highland StWest Hartford, CT 06119-1826 · (860) 258-4171
Phone(860) 813-1113
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 1, 2019
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1265086706 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 CT · 8450
14 WESTON ST, Hartford, CT 06120
Open in Google Maps ↗

Other Names 1

Other Name (5)Susan Lemelin

Accepted Insurance

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

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

Ms. Susan Lemelin 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 ID9234560640
PECOS Enrollment IDI20200518002639
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
142 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06120 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

83.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.16
Promoting Interoperability100
Improvement Activities40
Cost56.9

Other Providers at the Same Location NPPES

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

MRS. KARYN FERRIS LPC
Counselor (Professional)
14 WESTON ST
HARTFORD, CT 06120
Capitol Planning Region (860) 527-5100

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 Lemelin's NPI number?

The NPI number for Susan Lemelin is 1265086706. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Susan Lemelin located?

Susan Lemelin practices at 14 Weston St, Hartford, CT 06120. The listed phone number is (860) 813-1113.

What is Susan Lemelin's specialty?

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

Is Susan Lemelin enrolled in Medicare?

Yes. Susan Lemelin 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.

What insurance does Susan Lemelin accept?

Health plans from Providence Health Plan list Susan Lemelin 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 Lemelin was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.