Nadine B. Sutton, APN PMHNP-BC

Key facts

NPI

1124353768

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

406375 (NY)

Practice address

9777 Queens Blvd
Rego Park, NY 11374-3335

Phone

(646) 766-6899

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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.

• Jewish Board of Family & Childrens Services Inc Community/Behavioral Health Agency · New York, NY · NPI 1689755662
  Medicare reassignment NPD NY
• Lotus Mental Health & Wellness Psychiatric/Mental Health Nurse Practitioner · Howell, NJ · NPI 1851046338
  Medicare reassignment NPD NJ · PSYCHIATRIC/MENTAL HEALTH
• Lotus Mental Health & Wellness Inc Psychiatric/Mental Health Nurse Practitioner · Brick, NJ · NPI 1154136539
  Medicare reassignment NPD NJ · PSYCHIATRIC/MENTAL HEALTH
• Jewish Board of Family and Children'S Services, Inc. Addiction (Substance Use Disorder) Counselor · Brooklyn, NY · NPI 1760173579
  NPD PSYCHIATRIC/MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NJ, NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2025.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1124353768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253654",
            "telephone_number": "732-630-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "646-766-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112253654",
            "country_code": "US",
            "telephone_number": "347-956-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "NADINE",
        "middle_name": "B.",
        "credential": "APN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15166400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Rego Park, NY · Psychiatric/Mental Health Nurse Practitioner in New York