Individual provider Active NPI

Susan M Samson, FNP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1114102597
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331316 Issued in NY
Practice address
1375 Washington Ave Ste 101
Albany, NY 12206-1056
Phone
(518) 438-4483
NPI assigned
Jan 4, 2008
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F331316 NY Primary

Addresses

Primary practice location

1375 Washington Ave Ste 101
Albany, NY 12206-1056

Mailing address

449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3924

Other practice location 1

1882 New Scotland Rd
Slingerlands, NY 12159-3627
Phone (518) 689-3594

Other practice location 2

69 Prospect Ave
Hudson, NY 12534-2907
Phone (518) 822-8484

Other practice location 3

258 Hoosick St Ste 206
Troy, NY 12180-2450
Phone (518) 272-2097

Other practice location 4

3 crossings blvd
suite 1
clifton park, NY 12065
Phone (518) 831-4435

Other identifiers 1

IdentifierTypeStateIssuer
02378256MedicaidNY

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
I20120322000311 NY Practitioner - Nurse Practitioner 1052571494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 533-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331316NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC CurrentSince Nov 1, 2024 Accepting new patients
New York Oncology Hematology PC CurrentSince Apr 12, 2021 Accepting new patients
Albany Medical College CurrentSince Feb 16, 2012 Accepting new patients
Albany Medical College CurrentSince Feb 16, 2012 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
New York Oncology Hematology, P.C. CurrentSince Apr 12, 2021 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

1375 Washington Ave
#10113282
Albany, NY 12206
Phone (518) 533-1269

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269

3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

258 Hoosick St
Ste 206
Troy, NY 12180
Phone (518) 272-2097

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: susan.samson.1@24721.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1114102597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3924",
            "fax_number": "518-373-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 WASHINGTON AVE STE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061056",
            "telephone_number": "518-438-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1882 New Scotland Rd",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121593627",
            "country_code": "US",
            "telephone_number": "518-689-3594",
            "fax_number": "518-689-3597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342907",
            "country_code": "US",
            "telephone_number": "518-822-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Hoosick St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802450",
            "country_code": "US",
            "telephone_number": "518-272-2097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 crossings blvd",
            "address_2": "suite 1",
            "address_purpose": "LOCATION",
            "city": "clifton park",
            "state": "NY",
            "postal_code": "12065",
            "country_code": "US",
            "telephone_number": "518-831-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02378256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.