SUSAN REBECCA MITCHELL P.A.
NPI 1508281866
Physician Assistant - Medical in Massapequa, NY

Active since February 24, 2014PECOS EnrolledAccepts Medicare Assignment
79 GRAND AVE, MASSAPEQUA, NY 11758(516) 798-3376 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Rebecca Mitchell P.a. NPPES

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

SUSAN REBECCA MITCHELL P.A. (NPI 1508281866) is an individual medical provider in Massapequa, New York, licensed in New York (0173431) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508281866
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN REBECCA MITCHELLCredential: P.A.
Location Address79 GRAND AVEMassapequa, NY 11758
Mailing Address79 Grand AveMassapequa, NY 11758-4905 · (516) 798-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 24, 2014
Last NPPES UpdateMarch 23, 2016
NPI 1508281866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 0173431
79 GRAND AVE, Massapequa, NY 11758

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 Rebecca Mitchell P.a. 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 ID8325347172
PECOS Enrollment IDI20160428000838
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.

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
79 GRAND AVE
MASSAPEQUA, NY 11758
Obstetrics & Gynecology
79 GRAND AVE
MASSAPEQUA, NY 11758
Advanced Practice Midwife
79 GRAND AVE
MASSAPEQUA, NY 11758
Physician Assistant
79 GRAND AVE
MASSAPEQUA, NY 11758

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 Mitchell's NPI number?

The NPI number for Susan Mitchell is 1508281866. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Susan Mitchell located?

Susan Mitchell practices at 79 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 798-3376.

What is Susan Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Mitchell enrolled in Medicare?

Yes. Susan Mitchell 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.

Is Susan Mitchell affiliated with any hospitals?

According to CMS data, Susan Mitchell is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Susan Mitchell was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.