Individual provider Active NPI

Susan E Mogan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton Bays, NY
National Provider Identifier
1043643992
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405769 Issued in NY
Practice address
6 Flocee LN
Hampton Bays, NY 11946-3006
Phone
(845) 309-3040
NPI assigned
Aug 14, 2013
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30306501 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405769 NY Primary

Addresses

Primary practice location

6 Flocee LN
Hampton Bays, NY 11946-3006

Mailing address

6 Flocee LN
Hampton Bays, NY 11946-3006
Phone (845) 309-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003143 NY Practitioner - Nurse Practitioner 9638303894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Spine Surgeons of New YorkGroup PAC ID 3678052891, 2 clinicians
New York Brain and Spine Surgery PCGroup PAC ID 5890156467, 2 clinicians

Practice addresses (Care Compare)

244 Westchester Ave
Suite 209
White Plains, NY 10604-2922
Phone (914) 948-3008

6 Flocee LN
Hampton Bays, NY 11946-3006
Phone (845) 309-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306501NYMDCritical Care Medicine (Internal Medicine) Physician
30306501NYMDAdult Health Nurse Practitioner
405769NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Surgeons of New York Single Specialty CurrentSince Dec 24, 2025 Accepting new patients
New York Brain & Spine Surgery PC Single Specialty CurrentSince Mar 21, 2025 Accepting new patients
Adult Health Nurse Practitioner Services of the Hamptons PLLC Single Specialty CurrentSince Oct 11, 2024 Accepting new patients
Absolute Outcomes, LLC Single Specialty Past Accepting new patients
Northern Westchester Hospital Association Single Specialty Past Accepting new patients

Locations

244 Westchester Ave
Ste 209
White Plains, NY 10604
Phone (914) 948-3008

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1043643992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLOCEE LN",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463006",
            "telephone_number": "845-309-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FLOCEE LN",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463006",
            "telephone_number": "845-309-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30306501",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.