Individual provider Active NPI

Susan Ms Carlson, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1639274335
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400578 Issued in NY
Practice address
1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Phone
(585) 922-2900
Fax
(585) 922-2117
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400578 NY Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 400578 NY

Addresses

Primary practice location

1415 Portland Ave Ste 225
Rochester, NY 14621-3039

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1425 Portland Ave Unit G1
Rochester, NY 14621-3011
Phone (585) 922-4395

Other practice location 2

1381 E Ridge Rd Ste 5
Rochester, NY 14621-2019
Phone (585) 922-2500

Other practice location 3

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scarlson179932@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080527000090 NY Practitioner - Nurse Practitioner 2264501675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Suite 190
Rochester, NY 14621-3039
Phone (585) 336-5000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince May 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 1, 2009 Accepting new patients
Behavioral Health Network, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Apr 30, 2020 Accepting new patients
Western New York Medical Practice P.C. Past Accepting new patients
Rochester General Hospital PastSince May 1, 2021 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662

1425 Portland Ave
Unit G1
Rochester, NY 14621
Phone (585) 922-3880

1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

Interoperability endpoints

  • Direct secure messaging: scarlson179932@direct.rochesterregional.org

Organizations & group practices 6

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1639274335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 225",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213039",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave Unit G1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4395",
            "fax_number": "585-922-5715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 E Ridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212019",
            "country_code": "US",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074000",
            "country_code": "US",
            "telephone_number": "585-922-7700",
            "fax_number": "585-922-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SUSAN",
        "middle_name": "MS",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400578",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scarlson179932@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "1415 Portland Ave Ste 225",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.