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SUSAN HENDERSON NP
NPI 1700043411
Nurse Practitioner - Adult Health in East Patchogue, NY

Active since May 20, 2008PECOS Enrolled
100 HOSPITAL RD, SUITE 216, EAST PATCHOGUE, NY 11772(631) 475-5511(631) 475-5544 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Susan Henderson Np NPPES

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

SUSAN HENDERSON NP (NPI 1700043411) is an individual adult health provider in East Patchogue, New York, licensed in New York (30304827) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700043411
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN HENDERSONCredential: NP
Location Address100 HOSPITAL RD, SUITE 216East Patchogue, NY 11772-8809
Mailing Address124 Colton AveSayville, NY 11782-3108 · (631) 678-2972
Phone(631) 475-5511
Fax(631) 475-5544
Sole ProprietorNo
Enumeration DateMay 20, 2008
✔ NPI 1700043411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 30304827
100 HOSPITAL RD, East Patchogue, NY 11772
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Henderson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

PETER URAZOV DO
Family Medicine
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-6900
DR. GOPAL A BHANDARKAR M.D.
Anesthesiology
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
BROOKHAVEN SURGICAL SERVICES, P.C.
Surgery
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Suffolk County (631) 687-4022
EDWARD PIROLLI D.O.
Family Medicine
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-6900
BROOKHAVEN PHYSICIAN SERVICES, P. C.
General Practice
100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-6900
KATHRYN HOFFMANN DPT
Physical Therapist
100 HOSPITAL RD, SUITE 112
EAST PATCHOGUE, NY 11772
Suffolk County (631) 456-5512
ZOILA Z. FLORES D.O.
Family Medicine
100 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Suffolk County (631) 447-3010
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
General Acute Care Hospital
100 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 447-3010

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 Henderson's NPI number?

The NPI number for Susan Henderson is 1700043411. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Susan Henderson located?

Susan Henderson practices at 100 Hospital Rd Suite 216, East Patchogue, NY 11772. The listed phone number is (631) 475-5511.

What is Susan Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Henderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Henderson was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.