GABRIEL WILLIAM SUSEN AGACNP
NPI 1942091178
Nurse Practitioner - Acute Care in Bangor, ME

Q: What is Gabriel Susen's NPI number?

The NPI number for Gabriel Susen is 1942091178. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Q: What is Gabriel Susen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Susen was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 15, 2025PECOS EnrolledAccepts Medicare Assignment

1 NORTHEAST DR, BANGOR, ME 04401(207) 275-3800(207) 275-3836 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Sep 19, 2025, May 15, 2025 (3 updates tracked since 2025).

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About Gabriel William Susen Agacnp NPPES

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

GABRIEL WILLIAM SUSEN AGACNP (NPI 1942091178) is an individual acute care provider in Bangor, Maine, licensed in Maine (CNP251557) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942091178

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameGABRIEL WILLIAM SUSENCredential: AGACNP

Location Address1 NORTHEAST DRBangor, ME 04401-4332

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042

Phone(207) 275-3800

Fax(207) 275-3836

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 15, 2025

Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration

NPPES CertifiedDecember 22, 2025

✔ NPI 1942091178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in ME · CNP251557

Also ListedRegistered NurseTaxonomy 163W00000X · License RN74008 (ME), 95271729 (CA)

1 NORTHEAST DR, Bangor, ME 04401

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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 and accepts Medicare assignment

Gabriel William Susen Agacnp 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 ID840783114

PECOS Enrollment IDI20251204002145

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.

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

EDDY KARNABI MD PHD

Internal Medicine (Cardiovascular Disease)