Active NPI
Susanna S. Wilkens, MD
- Internal Medicine Physician
- Manchester, NH
National Provider Identifier
1063481372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7641
- Practice address
- 1 Elliot Way
Hospitalist Program - Elliot Hospital
Manchester, NH 03103-3502 - Phone
- (603) 663-2271
- Fax
- (603) 663-2273
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7641 | NH | Primary |
Addresses
Primary practice location
1 Elliot Way
Hospitalist Program - Elliot Hospital
Manchester, NH 03103-3502
Mailing address
1 Elliot Way
Hospitalist Program - Elliot Hospital
Manchester, NH 03103-3502
Phone (603) 663-2271
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3206430 | Other | NH | AETNA PIN |
| P00014363 | Other | NH | RR MEDICARE |
| 30200028 | Medicaid | NH | |
| 406461 | Other | NH | TUFTS PIN |
| E52438 | Other | NH | ANTHEM REFERRING UPIN |
| E52438 | Other | NH | HPHC |
| 2064 | Other | NH | CIGNA PIN |
| 0105247Y0NH02 | Other | NH | ANTHEM ACES # |
| 0407215 | Other | NH | UNITED HC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7641 | NH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063481372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"address_2": "HOSPITALIST PROGRAM - ELLIOT HOSPITAL",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033502",
"telephone_number": "603-663-2271",
"fax_number": "603-663-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLIOT WAY",
"address_2": "HOSPITALIST PROGRAM - ELLIOT HOSPITAL",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033502",
"telephone_number": "603-663-2271",
"fax_number": "603-663-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKENS",
"first_name": "SUSANNA",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "7641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "3206430",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00014363",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200028",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PIN",
"identifier": "406461",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING UPIN",
"identifier": "E52438",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "E52438",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2064",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES #",
"identifier": "0105247Y0NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC",
"identifier": "0407215",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.