Individual provider Active NPI

Susan Theresa Egan, ANP

  • Adult Health Nurse Practitioner
  • North Falmouth, MA
National Provider Identifier
1124300702
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN192251 Issued in MA
Practice address
19 Steven P Wentworth Rd
North Falmouth, MA 02556-2139
Phone
(508) 563-2606
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN192251 MA Primary

Addresses

Primary practice location

19 Steven P Wentworth Rd
North Falmouth, MA 02556-2139

Mailing address

19 Steven P Wentworth Rd
North Falmouth, MA 02556-2139
Phone (508) 563-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111121000702 MA Practitioner - Nurse Practitioner 5092989475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

90 Ter Heun Dr
Falmouth, MA 02540-2533
Phone (508) 774-3205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN192251MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Oct 17, 2016 Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health Current Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Oct 17, 2016 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Physicians of Falmouth Hospital Past Accepting new patients

Locations

90 Ter Heun Dr
Ste 203A
Falmouth, MA 02540

90 Ter Heun Dr
Ste 2300
Falmouth, MA 02540
Phone (508) 495-7160

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1124300702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STEVEN P WENTWORTH RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562139",
            "telephone_number": "508-563-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 STEVEN P WENTWORTH RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025562139",
            "telephone_number": "508-563-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "SUSAN",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN192251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Falmouth, MA

Sources for this page

Verify at the official NPI Registry.