Susan L McKernan, ARNP APRN BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0281082303 Issued in NH

Practice address

19 Hampton Rd
Exeter, NH 03833-4838

Phone

(603) 778-1752

Fax

(603) 778-1493

NPI assigned

May 5, 2006

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1164470522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038330655",
            "telephone_number": "603-778-1752",
            "fax_number": "603-778-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334838",
            "telephone_number": "603-778-1752",
            "fax_number": "603-778-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERNAN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "ARNP APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0281082303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "0281082303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342100",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F McGovern, MD
• Jennifer McIntyre, CRNA
• Roderick Start McKee, MD
• Christine M McKenna, MLADC
• Crystal McKenna, MS, LMHC, NCC, CCMHC
• Patricia M. McNamara, ARNP
• Kelsey McNeil, MA, CCC-SLP
• Claudia McQueen, MD
• McQueeney Chiropractic & Physical Therapy Center
• William Roy McQueeney, DC, PT

• Family Nurse Practitioner in Exeter, NH
• Providers in Exeter, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.