Individual provider Active NPI

Susan R Sperry, FNP

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1255463147
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331051-1 Issued in NY
Practice address
169 Valentine Rd
Pittsfield, MA 01201-3042
Phone
(413) 445-2300
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN157879 MA
Family Nurse Practitioner 363LF0000X F331051-1 NY Primary

Addresses

Primary practice location

169 Valentine Rd
Pittsfield, MA 01201-3042

Mailing address

169 Valentine Rd
Pittsfield, MA 01201-3042
Phone (413) 445-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120221000156 NY Practitioner - Nurse Practitioner 7517063415 Reassigns benefits to 2 organizations
I20240612002830 MA Practitioner - Nurse Practitioner 7517063415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN157879MAMDNurse Practitioner
F331051-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince May 31, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC Nurse Practitioner Current Accepting new patients
Berkshire Faculty Services Inc CurrentSince May 31, 2024 Accepting new patients
Statline Medical PC CurrentSince Jul 1, 2023 Accepting new patients
Hospitalist Healthcare Services PLLC Nurse Practitioner CurrentSince Jun 21, 2016 Accepting new patients
NP Care of Massachusetts LLC Nurse Practitioner Past Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

169 Valentine Rd
Pittsfield, MA 01201
Phone (413) 445-2300

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

631B North St
Pittsfield, MA 01201
Phone (413) 499-2051

180 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-7831

111 E 210th St
Bronx, NY 10467

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1255463147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 VALENTINE RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013042",
            "telephone_number": "413-445-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 VALENTINE RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013042",
            "telephone_number": "413-445-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN157879",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.