Individual provider Active NPI

Susan M Bernen, FNP-BC

  • General Practice Physician
  • Foxboro, MA
National Provider Identifier
1801750773
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
RN2302534 Issued in MA
Practice address
70 Walnut St
Foxboro, MA 02035-5312
Phone
(508) 543-6371
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X RN2302534 MA Primary

Addresses

Primary practice location

70 Walnut St
Foxboro, MA 02035-5312

Mailing address

70 Walnut St
Foxboro, MA 02035-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260114002328 MA Practitioner - Nurse Practitioner 6103302633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

70 Walnut St
Revere Medical Foxboro
Foxboro, MA 02035-5312
Phone (508) 543-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2302534MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

70 Walnut St
Foxborough, MA 02035
Phone (508) 543-6371

Organizations & group practices 1

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1801750773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020355312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020355312",
            "telephone_number": "508-543-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "RN2302534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.