Individual provider Active NPI

Susan Kostrzewski, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NH
National Provider Identifier
1770058273
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
068472-23 Issued in NH
Practice address
105 Pleasant St
Concord, NH 03301-3852
Phone
(603) 271-7936
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 068472-23 NH Primary

Addresses

Primary practice location

105 Pleasant St
Concord, NH 03301-3852

Mailing address

105 Pleasant St
Concord, NH 03301-3852
Phone (603) 271-7936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20210330000462 NH Practitioner - Nurse Practitioner 7012324502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New HampshireGroup PAC ID 3870530579, 77 clinicians

Practice addresses (Care Compare)

36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Dec 18, 2020 Accepting new patients
State of New Hampshire CurrentSince Dec 18, 2020 Accepting new patients

Locations

105 Pleasant St
Concord, NH 03301
Phone (603) 271-5200

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

Organizations & group practices 2

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1770058273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013852",
            "telephone_number": "603-271-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013852",
            "telephone_number": "603-271-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRZEWSKI",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "068472-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.