SUSAN PARKER
NPI 1265814719
Nurse Practitioner - Family in Glastonbury, CT

Active since June 22, 2015PECOS Enrolled
290 WESTERN BLVD, GLASTONBURY, CT 06033(860) 652-5070 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Parker NPPES

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

SUSAN PARKER (NPI 1265814719) is an individual family provider in Glastonbury, Connecticut, licensed in Connecticut (006094) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265814719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN PARKER
Location Address290 WESTERN BLVDGlastonbury, CT 06033-1236
Mailing Address290 Western BlvdGlastonbury, CT 06033-1236 · (860) 652-3325 · Fax (860) 928-6367
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1265814719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CT · 006094 Licensed in CT · 6094
290 WESTERN BLVD, Glastonbury, CT 06033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Parker 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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.

Other Providers at the Same Location NPPES 8

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

Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Nurse Practitioner (Pediatrics)
290 WESTERN BLVD
GLASTONBURY, CT 06033
Nurse Practitioner (Family)
290 WESTERN BLVD
GLASTONBURY, CT 06033
Dietitian, Registered
290 WESTERN BLVD
GLASTONBURY, CT 06033
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033
Pediatrics
290 WESTERN BLVD
GLASTONBURY, CT 06033

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 Parker's NPI number?

The NPI number for Susan Parker is 1265814719. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Susan Parker located?

Susan Parker practices at 290 Western Blvd, Glastonbury, CT 06033. The listed phone number is (860) 652-5070.

What is Susan Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Parker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Parker was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.