Individual provider Active NPI

Susan Silverman Neagle, ANP-BC

  • Adult Health Nurse Practitioner
  • East Hartford, CT
National Provider Identifier
1508099243
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4179 Issued in CT
Practice address
800 Connecticut Boulevard
East Hartford, CT 06108-7303
Phone
(860) 282-3894
Fax
(860) 282-8582
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4179 CT Primary

Addresses

Primary practice location

800 Connecticut Boulevard
East Hartford, CT 06108-7303

Mailing address

800 Connecticut Boulevard
East Hartford, CT 06108-7303
Phone (860) 282-3894

Other practice location 1

6 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3463
Phone (860) 242-6297

Other identifiers 1

IdentifierTypeStateIssuer
008004592MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sneagle38009@direct.med.uchc.edu

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
I20100512000566 CT Practitioner - Nurse Practitioner 9739217704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

800 Connecticut Blvd
East Hartford, CT 06108-7303
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4179CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Adult Health CurrentSince Jun 25, 2012 Accepting new patients
University of Connecticut Health Center Adult Health CurrentSince Mar 22, 2024 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 22, 2024 Accepting new patients

Locations

6 Northwestern Dr
Ste 201
Bloomfield, CT 06002
Phone (860) 242-1983

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

800 Connecticut Blvd
Hartford, CT 06108
Phone (860) 282-3894

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: sneagle38009@direct.med.uchc.edu
  • Direct secure messaging: susan.neagle.npi1508099243.phpct@direct.optumcare.masshiway.net
  • Direct secure messaging: sneagle76480@direct.med.uchc.edu

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1508099243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CONNECTICUT BOULEVARD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087303",
            "telephone_number": "860-282-3894",
            "fax_number": "860-282-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CONNECTICUT BOULEVARD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087303",
            "telephone_number": "860-282-3894",
            "fax_number": "860-282-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Northwestern Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023463",
            "country_code": "US",
            "telephone_number": "860-242-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAGLE",
        "first_name": "SUSAN",
        "middle_name": "SILVERMAN",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004592",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sneagle38009@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "800 Connecticut Boulevard",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061087303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.