Susan Neil, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN1686782 Issued in FL

Practice address

4031 Dixie Hwy NE
Palm Bay, FL 32905-3682

Phone

(321) 622-3222

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Behavioral Care LLCGroup PAC ID 1759569106, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Advanced Behavioral Care LLC

  dba Abc

  • Prescribing (Medical) Psychologist
  • Melbourne, FL
  • NPI 1760772032

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Coastal Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Sanford, FL
  • NPI 1154594950
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1831582378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 DIXIE HWY NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053682",
            "telephone_number": "321-622-3222",
            "fax_number": "321-622-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 DIXIE HWY NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053682",
            "telephone_number": "321-622-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "SUSAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN1686782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nci Transportation, LLC (NCI Transportation)
• Elaine Neal, OTA12414
• Tameara L Neely
• Lielvy Negrin, RBT
• Bonnie Elizabeth Negron
• Jacob Benjamin Nelms, HIS
• Lori Dianne Nelson, DDS
• Monica Nelson, APRN
• Nemours Children's Health, Palm Bay, Primary Care
• New Beginning Board and Care Home

• Psychiatric/Mental Health Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.