Individual provider Active NPI

Susan McKenna Conklin, DNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1447704705
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.006624 Issued in CT
Practice address
29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Phone
(203) 276-8582
Fax
(203) 276-7382
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.006624 CT Primary

Addresses

Primary practice location

29 Hospital PLZ Ste 502
Stamford, CT 06902-3602

Mailing address

29 Hospital PLZ Ste 502
Stamford, CT 06902-3602
Phone (203) 276-8582

Other practice location 1

372 Danbury Rd Ste 180
Wilton, CT 06897-2523
Phone (203) 276-8582

Other names 1

  • Susan Alanna McKenna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190724002077 CT Practitioner - Nurse Practitioner 8628354677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

29 Hospital PLZ
Suite 604
Stamford, CT 06902-3602
Phone (203) 276-8545

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6624CTMDSpeech-Language Pathologist
12.006624CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Sep 15, 2025 Accepting new patients

Locations

29 Hospital Plz
Ste 502
Stamford, CT 06902
Phone (203) 348-7410

29 Hospital Plz
Ste 604
Stamford, CT 06902
Phone (203) 276-8545

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

372 Danbury Rd
Ste 180
Wilton, CT 06897
Phone (203) 276-4015

Interoperability endpoints

  • Direct secure messaging: smckenna@vascularexperts.directbygreenway.com
  • Direct secure messaging: sconklin@vascularexperts.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1447704705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLZ STE 502",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-8582",
            "fax_number": "203-276-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLZ STE 502",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-8582",
            "fax_number": "203-276-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Danbury Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068972523",
            "country_code": "US",
            "telephone_number": "203-276-8582",
            "fax_number": "203-276-7382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "SUSAN",
        "middle_name": "MCKENNA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCKENNA",
            "middle_name": "ALANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.