Individual provider Active NPI

Susan Ansley Schaefer, MD

  • Allergy & Immunology Physician
  • Manchester, NH
National Provider Identifier
1477622280
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
14669 Issued in NH
Practice address
100 Hitchcock Way
Manchester, NH 03104-4125
Phone
(603) 695-2500
Fax
(603) 695-2562
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 14669 NH Primary
Allergy & Immunology Physician 207K00000X MD27300 OR

Addresses

Primary practice location

100 Hitchcock Way
Manchester, NH 03104-4125

Mailing address

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Other identifiers 1

IdentifierTypeStateIssuer
30208766MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090827000140 NH Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3678671732 Reassigns benefits to 1 organization
I20230131002385 MA Practitioner - Allergy/Immunology 3678671732 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27300ORMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Affiliates of Danvers CurrentSince Nov 1, 2024 Accepting new patients
Asthma & Allergy Affiliates Inc CurrentSince Jan 9, 2023 Accepting new patients
Advanced Care House Calls of Massachusetts, LLC PastSince Mar 10, 2020 Accepting new patients
DRS. Fine, Hoffman & Sims LLC PastSince Sep 1, 2025 Accepting new patients

Locations

140 Commonwealth Ave
Ste 103
Danvers, MA 01923
Phone (978) 777-0970

401 Andover St
Ste 102
North Andover, MA 01845
Phone (781) 315-5430

114R Highland Ave
Salem, MA 01970
Phone (978) 745-3711

114 Highland Ave
Rear
Salem, MA 01970
Phone (978) 745-3711

48 Stiles Rd
Ste 103
Salem, NH 03079
Phone (603) 328-7807

Interoperability endpoints

  • Direct secure messaging: sschaefer16261@direct.dartmouth-hitchcock.org
  • Direct secure messaging: schaefer.susan.nsaa@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Affiliates Inc 6 clinicians
Allergy Affiliates of Danvers 6 clinicians

Practice addresses (Care Compare)

114 R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-4767

140 Commonwealth Ave
Suite 103
Danvers, MA 01923-3624
Phone (978) 777-0970

401 Andover St
Suite 102
North Andover, MA 01845-5076
Phone (978) 683-6256

48 Stiles Rd
Suite 103
Salem, NH 03079-3770
Phone (603) 328-7807

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1477622280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500",
            "fax_number": "603-695-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500",
            "fax_number": "603-695-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "SUSAN",
        "middle_name": "ANSLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NH",
            "license": "14669",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD27300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30208766",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.