SUSAN WILEY
NPI 1760921969
Counselor - Professional in Portland, ME
About Susan Wiley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN WILEY (NPI 1760921969) is an individual professional provider in Portland, Maine, licensed in Maine (XL4841) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Wiley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 46 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.
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.
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
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 Wiley's NPI number?
The NPI number for Susan Wiley is 1760921969. It was assigned to this individual provider in the NPPES registry on February 21, 2017.
Where is Susan Wiley located?
Susan Wiley practices at 125 Presumpscot St, Portland, ME 04103. The listed phone number is (207) 871-1000.
What is Susan Wiley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Susan Wiley enrolled in Medicare?
Yes. Susan Wiley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Wiley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wiley reassigns Medicare benefits to Cornerstone Behavioral Healthcare, LLC (Bangor, ME). 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 Susan Wiley'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 Susan Wiley was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Susan Wiley · NPI 1760921969
Professional provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since February 21, 2017.
## Identity
- **NPI:** 1760921969 (Entity type: Individual)
- **Enumerated:** February 21, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** XL4841 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 125 PRESUMPSCOT ST, Portland, ME 04103-5225
- **Phone:** (207) 871-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cornerstone Behavioral Healthcare, LLC (NPI 1215102850, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1760921969) · Data from the CMS NPPES public registry.