Individual provider Active NPI

Susan Lynn Chase, NP, RN, CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1346349180
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP81032 Issued in ME
Practice address
14 Pleasant St
Brunswick, ME 04011-2201
Phone
(207) 419-9221
Fax
(207) 729-0190
NPI assigned
Sep 21, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP81032 ME Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X CNS104003 ME
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS104003 ME
Registered Nurse 163W00000X RN25666 ME

Addresses

Primary practice location

14 Pleasant St
Brunswick, ME 04011-2201

Mailing address

14 Pleasant St
Brunswick, ME 04011-2201
Phone (207) 419-9221

Other identifiers 1

IdentifierTypeStateIssuer
432055699MedicaidME

Other names 1

  • Susan Chase-Shelley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20060120000660 ME Practitioner - Nurse Practitioner 4183616873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Pleasant St
Brunswick, ME 04011-2201
Phone (207) 419-9221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN25666MEMDRegistered Nurse
CNP81032MEMDPsychiatric/Mental Health Nurse Practitioner
CNS104003MEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinical Services, Inc. CurrentSince Jul 25, 2022 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jul 25, 2022 Accepting new patients
St. Mary's Regional Medical Center Current Accepting new patients
Community Clinical Services, Inc CurrentSince Jul 25, 2022 Accepting new patients
Finding Peace of Mind LLC Psychiatric/Mental Health CurrentSince Dec 1, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Jan 18, 2021 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jul 25, 2022 Accepting new patients

Locations

7 School St
#1
Albion, ME 04910
Phone (207) 437-9388

14 Pleasant St
Brunswick, ME 04011
Phone (207) 200-3640

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359

Organizations & group practices 7

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1346349180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112201",
            "telephone_number": "207-419-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112201",
            "telephone_number": "207-419-9221",
            "fax_number": "207-729-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "NP, RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81032",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ME",
            "license": "CNS104003",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "CNS104003",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN25666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432055699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHASE-SHELLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.