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

Q: 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.

Q: 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.

Q: 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 2 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.

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment

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: October 18, 2026.

Record update history: Jul 30, 2026, May 7, 2021 (2 updates tracked since 2021).

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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

Phone(585) 922-2900

Fax(585) 922-2117

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 14, 2006

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

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

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Secondary Practice Locations 3

Location 11381 E Ridge Rd Ste 5Rochester, NY 14621-2019 · Phone (585) 922-2500 · Fax (585) 922-2710

Location 21425 Portland Ave Unit G1Rochester, NY 14621-3011 · Phone (585) 922-4395 · Fax (585) 922-5715

Location 3224 Alexander StRochester, NY 14607-4000 · Phone (585) 922-7700 · Fax (585) 922-7246

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Carlson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital

0.1 mi

General Acute Care Hospital

1425 PORTLAND AVE
Rochester, NY 14621

Reassigned Medicare billing, New York enrollment
2,285 clinicians in this Medicare group

NPI 1063531929 (585) 922-4000

Behavioral Health Network, Inc.

0.9 mi

Mental Health (Including Community Mental Health Center)

490 RIDGE RD E
Rochester, NY 14621

Reassigned Medicare billing, New York enrollment
78 clinicians in this Medicare group

NPI 1093812729 (585) 922-2500

Clifton Springs Sanitarium Co

28 mi

General Acute Care Hospital

2 COULTER RD
Clifton Springs, NY 14432

Reassigned Medicare billing, New York enrollment
872 clinicians in this Medicare group

NPI 1366505463 (315) 462-9561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8

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

BRITTANY NICOLE BUDD

Physician Assistant