Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SUSAN MS CARLSON NPP
NPI 1639274335
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since September 14, 2006PECOS Enrolled
1415 PORTLAND AVE STE 225, ROCHESTER, NY 14621(585) 922-2900(585) 922-2117 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Ms Carlson Npp NPPES

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

SUSAN MS CARLSON NPP (NPI 1639274335) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (400578) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1639274335
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN MS CARLSONCredential: NPP
Location Address1415 PORTLAND AVE STE 225Rochester, NY 14621-3039
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011
Fax(585) 922-2117
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
NPI 1639274335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 400578
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 400578 (NY)
1415 PORTLAND AVE STE 225, Rochester, NY 14621

Secondary Practice Locations 3

Location 11425 Portland Ave Unit G1Rochester, NY 14621-3011 · Phone (585) 922-4395 · Fax (585) 922-5715
Location 2224 Alexander StRochester, NY 14607-4000 · Phone (585) 922-7700 · Fax (585) 922-7246
Location 31381 E Ridge Rd Ste 5Rochester, NY 14621-2019 · Phone (585) 922-2500 · Fax (585) 922-2710

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 Ms Carlson Npp 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 ID2264501675
PECOS Enrollment IDI20080527000090
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 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 7

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

Physician Assistant
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Physician Assistant (Medical)
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Physician Assistant
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Physician Assistant
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Physician Assistant
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621
Dietitian, Registered
1415 PORTLAND AVE STE 225
ROCHESTER, NY 14621

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 Carlson's NPI number?

The NPI number for Susan Carlson is 1639274335. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Susan Carlson located?

Susan Carlson practices at 1415 Portland Ave Ste 225, Rochester, NY 14621. The listed phone number is (585) 922-2900.

What is Susan Carlson's specialty?

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

Is Susan Carlson enrolled in Medicare?

Yes. Susan Carlson 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 Carlson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.