Susan C. Chessa, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Guilford, ME
NPI 1457541773 · NPPES record last updated Apr 17, 2008
Key facts
- NPI
- 1457541773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R018031 (ME)
- Practice address
- 3 Park St
Guilford, ME 04443 - Phone
- (207) 876-3547
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070926000799 | ME | Practitioner - Nurse Practitioner | 1052406774 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R018031 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebasticook Valley Health | Current |
Accepting new patients | |
| Sebasticook Valley Health | Current |
Accepting new patients | |
| Sebasticook Family Doctors | Past |
Accepting new patients |
Locations
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
26 Main St
Ste 2
Newport, ME 04953
Phone (207) 368-5747
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R018031 | ME | Yes |
Addresses
Primary practice location
3 Park St
Guilford, ME 04443
Mailing address
3 Park St
Guilford, ME 04443
Phone (207) 876-3547
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00424142 | Other | ME | RAILROAD MEDICARE |
Other providers in Guilford, ME
- Steven Thomas Aleandri
- Carin Elizabeth Burnett
- Kathleen Cardin
- Melissa Douglass
- Jaime Lyn Gilbert
- Aimee Gomes
- Hospital Administrative District 4
- Mainely Benefits LLC
All providers in Guilford, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.