Susan Catherine Maloney, MSN, CRNP, RN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP004544B Issued in PA

Practice address

1611 Peach St
Suite 455
Erie, PA 16501-2109

Phone

(814) 453-4718

Fax

(814) 455-7463

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Catherine Maloney-Young Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment NPD
• Adagio Health Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Pittsburgh, PA
  • NPI 1487877023
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437216736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEADVILLE ST",
            "address_2": "CENTENNIAL HALL",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164440001",
            "telephone_number": "814-882-4322",
            "fax_number": "814-732-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "SUITE 455",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012109",
            "telephone_number": "814-453-4718",
            "fax_number": "814-455-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "SUSAN",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP, RN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP004544B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MALONEY-YOUNG",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "MSN, CRNP, RN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Malinowski
• Tracy A Malinowski, CRNA
• Kaitlin Malito, CRNP
• Kelly A Mallory, LSW
• Patrick Maloney
• Ankur Malpani, M.D.
• Howard S Manasse, M.D.
• Denise Marie Manchester, RN
• Marc Joseph Mancinelli, D.O.
• Caleb Joseph Mandel, PA-C

• Family Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.