Individual provider Active NPI

Susan Wareing, NP

  • Adult Health Nurse Practitioner
  • Fairhaven, MA
National Provider Identifier
1861411449
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN215645 Issued in MA
Practice address
200 Mill Road
Suite 180
Fairhaven, MA 02719
Phone
(508) 973-2160
Fax
(508) 973-2176
NPI assigned
Jul 18, 2006
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN215645 MA Primary
Adult Health Nurse Practitioner 363LA2200X 215645 MA
Adult Health Nurse Practitioner 363LA2200X RN39391 RI

Addresses

Primary practice location

200 Mill Road
Suite 180
Fairhaven, MA 02719

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-3000

Other practice location 1

642 Metacom Ave
Warren, RI 02885-2350
Phone (401) 245-2860

Other identifiers 2

IdentifierTypeStateIssuer
215645OtherMASTATE LICENSE
RN39391OtherRISTATE LICENSE

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
I20060803000285 MA Practitioner - Nurse Practitioner 8022021385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8970 Supreme CT
Independence, KY 41051-8698

PO Box
Boston, MA 02241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215645MAMDAdult Health Nurse Practitioner
RN39391RIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC CurrentSince Dec 8, 2014 Accepting new patients
Crausman Medical Associates LLC CurrentSince Jun 18, 2022 Accepting new patients
Urgent Care Medical Associates of Massachusetts, LLC Current Accepting new patients
Premier Healthcare Services, LLC Past Accepting new patients
Boston Neurobehavioral Associates, LLC Past Accepting new patients
New Bedford Internal Medicine & Geriatrics, LLC PastSince Nov 22, 1997 Accepting new patients

Locations

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

675 Paramount Dr
Ste 203
Raynham, MA 02767
Phone (508) 738-6740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
  • Direct secure messaging: susan.wareing.1@11568.direct.athenahealth.com
  • Direct secure messaging: susan.wareing.1@3082.direct.athenahealth.com

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, 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1861411449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-3000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL ROAD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "02719",
            "telephone_number": "508-973-2160",
            "fax_number": "508-973-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Metacom Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028852350",
            "country_code": "US",
            "telephone_number": "401-245-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAREING",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN215645",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "215645",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "RN39391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "215645",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN39391",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.