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SUSAN L STEFANSKI NP-C
NPI 1376595264
Nurse Practitioner in Gloucester, MA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
298 WASHINGTON STREET, LAHEY CARDIOLOGY, GLOUCESTER, GLOUCESTER, MA 01930(978) 281-1500(978) 381-7749 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2016, Oct 13, 2016 (2 updates tracked since 2016).

About Susan L Stefanski Np-c NPPES

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

SUSAN L STEFANSKI NP-C (NPI 1376595264) is an individual nurse practitioner in Gloucester, Massachusetts, licensed in Massachusetts (163733) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1376595264
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN L STEFANSKICredential: NP-C
Location Address298 WASHINGTON STREET, LAHEY CARDIOLOGY, GLOUCESTERGloucester, MA 01930
Mailing Address298 Washington Street, Lahey Cardiology, GloucesterGloucester, MA 01930 · (978) 281-1500 · Fax (978) 381-7749
Phone(978) 281-1500
Fax(978) 381-7749
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 27, 20162 updates tracked since enumeration
✔ NPI 1376595264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 163733
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
298 WASHINGTON STREET, Gloucester, MA 01930
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS87604MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Susan L Stefanski Np-c 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 ID6002872074
PECOS Enrollment IDI20060119000220
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
562 services461 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01930 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. STEVEN ANTHONY GILLESPIE MD
Psychiatry & Neurology (Geriatric Psychiatry)
298 WASHINGTON STREET
GLOUCESTER, MA 01930
Essex County (978) 283-4000
HEALTH AND EDUCATION SERVICES
Community/Behavioral Health
298 WASHINGTON STREET
GLOUCESTER, MA 01930
Essex County (978) 283-0296

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 Stefanski's NPI number?

The NPI number for Susan Stefanski is 1376595264. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Susan Stefanski located?

Susan Stefanski practices at 298 Washington Street Lahey Cardiology, Gloucester, Gloucester, MA 01930. The listed phone number is (978) 281-1500.

What is Susan Stefanski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Stefanski enrolled in Medicare?

Yes. Susan Stefanski 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 Stefanski accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Stefanski 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.

Is Susan Stefanski affiliated with any hospitals?

According to CMS data, Susan Stefanski is affiliated with Northeast Hospital Corporation and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Susan Stefanski was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.