Individual provider Active NPI

Susan F Mirabello, APRN

  • Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1861878571
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
056350-23 Issued in NH
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 663-6478
Fax
(603) 663-8015
NPI assigned
Aug 4, 2015
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 056350-23 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

875 Elm St Apt 507
Manchester, NH 03101-2124
Phone (603) 663-6478

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
I20151109000145 NH Practitioner - Nurse Practitioner 4183934920 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 1, 2018 Accepting new patients
Emergency Medicine Physicians of Rockingham County, LLC CurrentSince Apr 16, 2020 Accepting new patients
Usacs Observation Medicine Services of New Hampshire, LLC CurrentSince May 30, 2018 Accepting new patients
Catholic Medical Center CurrentSince Apr 1, 2018 Accepting new patients
Catholic Medical Center CurrentSince Feb 8, 2019 Accepting new patients
Cheshire Medical Center PastSince Nov 8, 2016 Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1861878571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ELM ST APT 507",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012124",
            "telephone_number": "603-663-6478",
            "fax_number": "603-663-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6478",
            "fax_number": "603-663-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLO",
        "first_name": "SUSAN",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "056350-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.