Active NPI
Colleen Margaret Susskraut, NP
- Family Nurse Practitioner
- Springville, NY
National Provider Identifier
1316436835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F344436
- Practice address
- 25 E Main St
Springville, NY 14141-1244 - Phone
- (716) 592-2832
- Fax
- (716) 592-4452
- NPI assigned
- May 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ARNP9366415 | FL | |
| Family Nurse Practitioner | 363LF0000X | F344436 | NY | Primary |
Addresses
Primary practice location
25 E Main St
Springville, NY 14141-1244
Mailing address
25 E Main St
Springville, NY 14141-1244
Phone (716) 592-2832
Other practice location 1
210 Lookout Pl
Maitland, FL 32751-4491
Phone (407) 215-0400 ext. 105
Other practice location 2
275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9366415 | FL | MD | Family Medicine Physician |
| F344436 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Pediatrics of Central Florida, PL | Past | Accepting new patients | |
| Seneca Nation of Indians | Past | Accepting new patients | |
| Sunshine Pediatrics of Central Florida | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13830/brand/1/csg/1/fhir/r4
- csusskraut@springvillepeds.medentdirect.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Salamanca, NY
- NPI 1023033511
-
- Pediatrics Physician
- Maitland, FL
- NPI 1649719477
-
- Pediatrics Physician
- Maitland, FL
- NPI 1962411744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1316436835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411244",
"telephone_number": "716-592-2832",
"fax_number": "716-592-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411244",
"telephone_number": "716-592-2832",
"fax_number": "716-592-4452"
}
],
"practiceLocations": [
{
"address_1": "210 Lookout Pl",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327514491",
"country_code": "US",
"telephone_number": "407-215-0400 x105",
"fax_number": "407-215-0402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Thomas Indian School Dr",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "NY",
"postal_code": "140819341",
"country_code": "US",
"telephone_number": "716-532-5582",
"fax_number": "716-242-6344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSSKRAUT",
"first_name": "COLLEEN",
"middle_name": "MARGARET",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ARNP9366415",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.