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SUSAN SPENCER NPP
NPI 1679639512
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Active since December 28, 2006Opted out of Medicare · through Apr 1, 2028
4 EXECUTIVE PARK DR, ALBANY, NY 12203(518) 438-9722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Spencer Npp NPPES

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

SUSAN SPENCER NPP (NPI 1679639512) is an individual psychiatric/mental health provider in Albany, New York, licensed in New York (F400543-1) and active in the NPI registry since December 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679639512
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN SPENCERCredential: NPP
Location Address4 EXECUTIVE PARK DRAlbany, NY 12203-3718
Mailing Address4 Executive Park DrAlbany, NY 12203-3718 · (518) 438-9722
Phone(518) 438-9722
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679639512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F400543-1
4 EXECUTIVE PARK DR, Albany, NY 12203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Spencer Npp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12203 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 20

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

DEBBIE ANN KENNEDY V M.D.
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-1434
JOSHUA A KING M.D.
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-1434
SPORTS THERAPY ALBANY P.T, P.C.
Physical Therapist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 489-2449
JOHN JUWON PARK DMD
Dentist (Pediatric Dentistry)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (347) 408-8673
MR. THOMAS F. FASHOUER A.T.C.
Specialist/Technologist (Athletic Trainer)
4 EXECUTIVE PARK DR, ALBANY PHYSICAL THERAPY
ALBANY, NY 12203
Albany County (518) 489-2449
MS. PHRANCES BLAY HINCH M.S. NPP
Nurse Practitioner (Psychiatric/Mental Health)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-9722
ELIZABETH DEMIS LCSW-R
Social Worker (Clinical)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-9722
CAPITAL REGION UROLOGICAL SURGEONS
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 489-7494

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 Spencer's NPI number?

The NPI number for Susan Spencer is 1679639512. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Susan Spencer located?

Susan Spencer practices at 4 Executive Park Dr, Albany, NY 12203. The listed phone number is (518) 438-9722.

What is Susan Spencer's specialty?

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

Is Susan Spencer enrolled in Medicare?

No. Susan Spencer has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Spencer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.