SUSAN ANDREA NP
NPI 1902966039
Nurse Practitioner - Family in Brockton, MA
About Susan Andrea Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ANDREA NP (NPI 1902966039) is an individual family provider in Brockton, Massachusetts, licensed in Massachusetts (149570) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 Andrea Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Andrea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 5 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.
Good Samaritan Medical Center
Acute Care Hospitals · Brockton, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKTON, MA 02301
BROCKTON, MA 02301
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 Andrea's NPI number?
The NPI number for Susan Andrea is 1902966039. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Susan Andrea located?
Susan Andrea practices at 111 Torrey St Suite A, Brockton, MA 02301. The listed phone number is (508) 588-1200.
What is Susan Andrea's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Andrea enrolled in Medicare?
Yes. Susan Andrea 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 Andrea's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Andrea reassigns Medicare benefits to Bethel Medical Group PC (Brockton, MA). 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 Andrea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susan Andrea affiliated with any hospitals?
According to CMS data, Susan Andrea is affiliated with Good Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Susan Andrea was last updated on November 4, 2016. 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 Andrea, NP · NPI 1902966039
Family physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1902966039 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 149570 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 TORREY ST, SUITE A, Brockton, MA 02301-4800
- **Phone:** (508) 588-1200 · **Fax:** (508) 941-0497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bethel Medical Group PC (NPI 1861607558, Brockton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** November 4, 2016
- **Other identifiers:** Medicare PIN NP3043 (MA); Medicare UPIN P24167 (MA); Medicaid 0712604 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902966039) · Data from the CMS NPPES public registry.