Susan M Kolb, NP
Individual provider Active NPI Family Nurse Practitioner · Verona, NY
NPI 1053938340 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1053938340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 346052 (NY)
- Practice address
- 5584 East Main Street
Verona, NY 13478 - Phone
- (315) 473-3300
- Fax
- (315) 473-3847
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MVHS Inc
Suny Health Science Center at Syracuse
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000
550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Wynn Hospital
- Oneida Health Hospital
- Rome Memorial Hospital, Inc
- Lewis County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110000339 | NY | Practitioner - Nurse Practitioner | 4385054907 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346052 | NY | MD | Family Nurse Practitioner |
| F346052-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Family | Current |
Accepting new patients |
| Department of Medicine Medical Service Group | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
1904 Genesee St
Utica, NY 13502
Phone (315) 793-8856
116 Business Park Dr
Ste 1
Utica, NY 13502
Phone (315) 624-7000
Interoperability endpoints
- skolb166951@direct.upstate.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F346052-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 346052 | NY | Yes |
Addresses
Primary practice location
5584 East Main Street
Verona, NY 13478
Mailing address
251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000
Other providers in Verona, NY
- Azerina Habib
- Paula Haley
- Mary Ann Keegan
- Kristina Marie Kinne
- Melissa A Koegst
- Madison Oneida Boces
- Keith Marshall
- Julie Elaine McElhinney
- Cathy M Misiaszek
- Laurie Mitchell
All providers in Verona, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.