Active NPI
Susan M Samson, FNP
- Family Nurse Practitioner
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331316
- Practice address
- 1375 Washington Ave Ste 101
Albany, NY 12206-1056 - Phone
- (518) 438-4483
- NPI assigned
- Jan 4, 2008
- Last updated
- Dec 23, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02378256 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F331316 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| New York Oncology Hematology PC | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| New York Oncology Hematology, P.C. | Current | 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
- 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.
-
dba Allied Digestive Health Medical Group of New York
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
dba Akira Medical Imaging and Wellness
- Hematology & Oncology Physician
- Albany, NY
- NPI 1609863448
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Non-Pharmacy Dispensing Site
- Albany, NY
- NPI 1326466244
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.