Active NPI
Suzan Lewil, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Clearlake, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95036114
- Practice address
- 15230 Lakeshore Dr
Clearlake, CA 95422-8107 - Phone
- (707) 995-4545
- NPI assigned
- Jun 20, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95036114 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 120481 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 120481 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95036114 | CA | Primary |
Addresses
Primary practice location
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Mailing address
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Hospital & facility affiliations
- Adventist Health Clearlake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95036114 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 120481 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Care, Inc | Current | Accepting new patients | |
| Adventist Health Clearlake Hospital Inc. | Current | Accepting new patients | |
| Valley Health Care Inc. | Current | Accepting new patients | |
| Valley Health Care, Inc | Current | Accepting new patients |
Locations
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
240 Allegheny Hwy
Elkins, WV 26241
Phone (304) 636-0133
105 Nathan St
Elkins, WV 26241
Phone (304) 636-0133
46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005
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.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Federally Qualified Health Center (FQHC)
- Mill Creek, WV
- NPI 1801861083
-
- Federally Qualified Health Center (FQHC)
- Beverly, WV
- NPI 1073244810
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1710270954
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1144740325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 LAKESHORE DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 LAKESHORE DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228107",
"telephone_number": "707-995-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIL",
"first_name": "SUZAN",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95036114",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WV",
"license": "120481",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "120481",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95036114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.