Individual provider Active NPI

Susan Vecchione Duenas, MS FNP

  • Family Nurse Practitioner
  • Yarmouth Port, MA
National Provider Identifier
1194791400
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
141387NP Issued in MA
Practice address
714 Main St
Suite 706a, Bickford Health Associates,PC
Yarmouth Port, MA 02675-2000
Phone
(508) 362-1600
Fax
(508) 362-1616
NPI assigned
Feb 27, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 141387NP MA Primary

Addresses

Primary practice location

714 Main St
Suite 706a, Bickford Health Associates,PC
Yarmouth Port, MA 02675-2000

Mailing address

714 Main St
Suite 706a, Bickford Health Associates,PC
Yarmouth Port, MA 02675-2000
Phone (508) 362-1600

Other identifiers 2

IdentifierTypeStateIssuer
0357227MedicaidMA
NP0570OtherMABCBS

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
I20110106000435 MA Practitioner - Nurse Practitioner 1355338815 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141387NPMAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osterville Health Care PC Current Accepting new patients
Cape Cod Primary Care LLC CurrentSince Apr 15, 2019 Accepting new patients
Advanced Audiology Associates, Inc. PastSince Apr 15, 2019 Accepting new patients

Locations

714 Main St
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Main St
#6A
Yarmouth Port, MA 02675
Phone (508) 362-1600

714 Main St
Ste 706A
Yarmouth Port, MA 02675
Phone (508) 362-1600

Organizations & group practices 3

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1194791400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "SUSAN",
        "middle_name": "VECCHIONE",
        "name_prefix": "Mrs.",
        "credential": "MS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "141387NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357227",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP0570",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.