Individual provider Active NPI

Susan Eileen O'Neil, CNP

  • Adult Health Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1861743544
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5021506 Issued in NC
Practice address
1001 Newman Rd
New Bern, NC 28562-5253
Phone
(252) 635-6777
Fax
(252) 634-3183
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 384590 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.14069 OH
Adult Health Nurse Practitioner 363LA2200X 5021506 NC Primary

Addresses

Primary practice location

1001 Newman Rd
New Bern, NC 28562-5253

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 635-6777

Other identifiers 1

IdentifierTypeStateIssuer
0076288MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250428001582 NC Practitioner - Nurse Practitioner 6608021381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

1001 Newman Rd
New Bern, NC 28562-5253
Phone (252) 635-6777

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 247-3257

445 Western Blvd
Jacksonville, NC 28546-6845
Phone (252) 633-2712

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

620 Farm Life Ave
Vanceboro, NC 28586-7673
Phone (252) 244-1785

906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
384590OHMDRegistered Nurse
APRN.CNP.14069OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians CurrentSince Apr 1, 2025 Accepting new patients
Carolinaeast Physicians Current Accepting new patients
Carolina East Physicians CurrentSince Apr 1, 2025 Accepting new patients
Carolinaeast Physicians Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

1001 Newman Rd
New Bern, NC 28562
Phone (252) 635-6777

Interoperability endpoints

  • Direct secure messaging: soneil40707@carolinaeastmc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1861743544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625253",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "SUSAN",
        "middle_name": "EILEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "384590",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.14069",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5021506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.