SUSAN PHELAN PH D NP
NPI 1487711636
Nurse Practitioner in Port Jefferson, NY
About Susan Phelan Ph D Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN PHELAN PH D NP (NPI 1487711636) is an individual nurse practitioner in Port Jefferson, New York, licensed in New York (F4001481) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Phelan Ph D Np 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
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 Phelan's NPI number?
The NPI number for Susan Phelan is 1487711636. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Susan Phelan located?
Susan Phelan practices at 251 E Oakland Ave Ste 2A, Port Jefferson, NY 11777. The listed phone number is (631) 760-1830.
What is Susan Phelan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susan Phelan enrolled in Medicare?
Yes. Susan Phelan 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 Susan Phelan was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Susan Phelan, PH D NP · NPI 1487711636
Nurse Practitioner physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1487711636 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F4001481 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 251 E OAKLAND AVE STE 2A, Port Jefferson, NY 11777-2602
- **Phone:** (631) 760-1830 · **Fax:** (631) 509-6080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** February 16, 2026
- **Other identifiers:** Medicaid 01570447 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1487711636) · Data from the CMS NPPES public registry.