SUSAN EILEEN O'NEIL CNP
NPI 1861743544
Nurse Practitioner - Adult Health in New Bern, NC

Active since September 21, 2012PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1001 NEWMAN RD, NEW BERN, NC 28562(252) 635-6777(252) 634-3183 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2018, Nov 7, 2017, Nov 1, 2017 (3 updates tracked since 2017).

About Susan Eileen O'neil Cnp NPPES

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

SUSAN EILEEN O'NEIL CNP (NPI 1861743544) is an individual adult health provider in New Bern, North Carolina, licensed in North Carolina (5021506) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861743544
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN EILEEN O'NEILCredential: CNP
Location Address1001 NEWMAN RDNew Bern, NC 28562-5253
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 635-6777 · Fax (252) 634-3183
Fax(252) 634-3183
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 21, 2012
Last NPPES UpdateApril 15, 20253 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1861743544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NC · 5021506✔ Licensed in OH · APRN.CNP.14069
Also ListedRegistered NurseTaxonomy 163W00000X · License 384590 (OH)
1001 NEWMAN RD, New Bern, NC 28562

Other Identifiers 1

Medicaid0076288OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Eileen O'neil Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608021381
PECOS Enrollment IDI20250428001582
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 Susan O'neil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1001 NEWMAN RD
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
1001 NEWMAN RD
NEW BERN, NC 28562
Physician Assistant
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
1001 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Clinical Cardiac Electrophysiology)
1001 NEWMAN RD
NEW BERN, NC 28562
Nurse Practitioner (Acute Care)
1001 NEWMAN RD
NEW BERN, NC 28562

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 O'neil's NPI number?

The NPI number for Susan O'neil is 1861743544. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Susan O'neil located?

Susan O'neil practices at 1001 Newman Rd, New Bern, NC 28562. The listed phone number is (252) 635-6777.

What is Susan O'neil's specialty?

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

Is Susan O'neil enrolled in Medicare?

Yes. Susan O'neil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susan O'neil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan O'neil reassigns Medicare benefits to Carolinaeast Physicians (New Bern, NC). 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 O'neil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan O'neil accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Susan O'neil 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.

Is Susan O'neil affiliated with any hospitals?

According to CMS data, Susan O'neil is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Susan O'neil was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.