Active NPI
Susan Lynn Chase, NP, RN, CNS
- Psychiatric/Mental Health Nurse Practitioner
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP81032
- 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, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432055699 | Medicaid | ME |
Other names 1
- Susan Chase-Shelley
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN25666 | ME | MD | Registered Nurse |
| CNP81032 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNS104003 | ME | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Services, Inc. | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Community Clinical Services, Inc | Current | Accepting new patients | |
| Finding Peace of Mind LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Healthreach Community Health Centers | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brunswick, ME
- NPI 1831964154
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1164477568
-
dba Lovejoy Health Center
- Federally Qualified Health Center (FQHC)
- Albion, ME
- NPI 1922071745
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Federally Qualified Health Center (FQHC)
- Lewiston, ME
- NPI 1629851761
-
dba St. Mary's Urgent Care
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.