Individual provider Active NPI

Susan Breakell Gresko, MSN, CRNP

  • Pediatric Nurse Practitioner
  • Abington, PA
National Provider Identifier
1184688343
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
TP001082D Issued in PA
Practice address
1421 Highland Ave
Abington, PA 19001-2610
Phone
(215) 572-7880
Fax
(215) 572-8024
NPI assigned
Apr 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X TP001082D PA Primary

Addresses

Primary practice location

1421 Highland Ave
Abington, PA 19001-2610

Mailing address

1421 Highland Ave
Abington, PA 19001-2610
Phone (215) 572-7880

Other identifiers 6

IdentifierTypeStateIssuer
2342494000OtherPAKEYSTONE HEALTH PLAN EAST
001461156-0002MedicaidPA
30012908OtherPAKEYSTONE MERCY-NORRISTOWN
1666860OtherPAPERSONAL/BLUE CHOICE
30019381OtherPAKEYSTONE MERCY-ABINGTON
GR1666860OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210707001988 PA Practitioner - Nurse Practitioner 0648672105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP001082DPAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vna-Community Services, Inc. Past Accepting new patients
Spectrum Health Services Inc PastSince Aug 1, 2021 Accepting new patients
Vna-Community Services, Inc. Pediatrics PastSince Apr 28, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184688343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 HIGHLAND AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012610",
            "telephone_number": "215-572-7880",
            "fax_number": "215-572-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 HIGHLAND AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012610",
            "telephone_number": "215-572-7880",
            "fax_number": "215-572-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESKO",
        "first_name": "SUSAN",
        "middle_name": "BREAKELL",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "TP001082D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2342494000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001461156-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY-NORRISTOWN",
            "identifier": "30012908",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL/BLUE CHOICE",
            "identifier": "1666860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY-ABINGTON",
            "identifier": "30019381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "GR1666860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.