MS. SUSAN LYNNE DEBALSI PA-C
NPI 1649318288
Physician Assistant - Medical in Fairhaven, MA

Active since February 04, 2007PECOS Enrolled
200 MILL ROAD, SUITE 190, FAIRHAVEN, MA 02719(508) 973-2160(508) 973-2176 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Lynne Debalsi Pa-c NPPES

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

MS. SUSAN LYNNE DEBALSI PA-C (NPI 1649318288) is an individual medical provider in Fairhaven, Massachusetts, licensed in Massachusetts (PA1212) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1649318288
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SUSAN LYNNE DEBALSICredential: PA-C
Location Address200 MILL ROAD, SUITE 190Fairhaven, MA 02719
Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-3000 · Fax (508) 973-2001
Fax(508) 973-2176
Sole ProprietorNo
Enumeration DateFebruary 4, 2007
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1649318288 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
Licenses Licensed in MA · PA1212 Licensed in MA · 1212 Licensed in RI · PA00663
200 MILL ROAD, Fairhaven, MA 02719

Secondary Practice Location 1

Location 1110 Liberty StBrockton, MA 02301-5674 · Phone (508) 941-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Susan Lynne Debalsi Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
305 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
249 services92 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
14 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
17%54 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
200 MILL ROAD, SUITE 180
FAIRHAVEN, MA 02719
Nurse Practitioner (Adult Health)
200 MILL ROAD, SUITE 180
FAIRHAVEN, MA 02719
Nurse Practitioner (Adult Health)
200 MILL ROAD, SUITE 180
FAIRHAVEN, MA 02719
Nurse Practitioner (Family)
200 MILL ROAD, SUITE 190
FAIRHAVEN, MA 02719

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 Debalsi's NPI number?

The NPI number for Susan Debalsi is 1649318288. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Susan Debalsi located?

Susan Debalsi practices at 200 Mill Road Suite 190, Fairhaven, MA 02719. The listed phone number is (508) 973-2160.

What is Susan Debalsi's specialty?

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

Is Susan Debalsi enrolled in Medicare?

Yes. Susan Debalsi is registered in the Medicare PECOS enrollment system.

What insurance does Susan Debalsi accept?

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

When was this NPI record last updated?

The NPPES record for Susan Debalsi was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.