MS. SUSANNA CLARE FENTON NPWH
NPI 1740987783
Nurse Practitioner - Women's Health in Kingston, NY

Active since February 09, 2023PECOS Enrolled
21 GRAND ST, KINGSTON, NY 12401(845) 562-7800 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Susanna Clare Fenton Npwh NPPES

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

MS. SUSANNA CLARE FENTON NPWH (NPI 1740987783) is an individual women's health provider in Kingston, New York, licensed in New York (F421630-01) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740987783
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. SUSANNA CLARE FENTONCredential: NPWH
Location Address21 GRAND STKingston, NY 12401-3933
Mailing Address190 Huguenot StNew Paltz, NY 12561-1018 · (845) 399-0245
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1740987783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F421630-01
21 GRAND ST, Kingston, NY 12401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susanna Clare Fenton Npwh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214301928
PECOS Enrollment IDI20230321000557
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 Reassignment

Medicare enrollment records show Susanna Fenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Family Planning Facility
44 COURT ST FL 4
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group

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 12401 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Susanna Fenton's NPI number?

The NPI number for Susanna Fenton is 1740987783. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Susanna Fenton located?

Susanna Fenton practices at 21 Grand St, Kingston, NY 12401. The listed phone number is (845) 562-7800.

What is Susanna Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Susanna Fenton enrolled in Medicare?

Yes. Susanna Fenton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susanna Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Fenton reassigns Medicare benefits to Planned Parenthood Of Greater New York Inc (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanna Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susanna Fenton was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.