Individual provider Active NPI

Susan Marie Senko, DNP, AGNP-BC, APRN

  • Nurse Practitioner
  • Herndon, VA
National Provider Identifier
1558838565
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176809 Issued in VA
Practice address
2440 Little Current Dr Apt 4023
Herndon, VA 20171-4622
Phone
(732) 814-1054
NPI assigned
Oct 28, 2018
Last updated
Oct 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176809 VA Primary

Addresses

Primary practice location

2440 Little Current Dr Apt 4023
Herndon, VA 20171-4622

Mailing address

2440 Little Current Dr Apt 4023
Herndon, VA 20171-4622
Phone (732) 814-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210330002643 DC Practitioner - Nurse Practitioner 2062829492 Reassigns benefits to 2 organizations
I20210331001299 VA Practitioner - Nurse Practitioner 2062829492 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.8 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
40
Cost
87.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rahel G. Yirga MD PC CurrentSince Jan 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Atlantic Healthcare Services LLC Nurse Practitioner CurrentSince May 12, 2022 Accepting new patients

Locations

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

6106 Health Center Ln
Fredericksburg, VA 22407
Phone (540) 785-1103

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1558838565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 LITTLE CURRENT DR APT 4023",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714622",
            "telephone_number": "732-814-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 LITTLE CURRENT DR APT 4023",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714622",
            "telephone_number": "732-814-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKO",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "DNP, AGNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.