Active NPI
Susan Charmaine Izzo, N.P.
- Family Nurse Practitioner
- Vernon, CT
National Provider Identifier
1881644631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 003300
- Practice address
- 520 Hartford Tpke
Suite N
Vernon, CT 06066-5037 - Phone
- (860) 872-8321
- Fax
- (860) 875-6271
- NPI assigned
- May 11, 2006
- Last updated
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 003300 | CT | |
| Family Nurse Practitioner | 363LF0000X | 003300 | CT | Primary |
Addresses
Primary practice location
520 Hartford Tpke
Suite N
Vernon, CT 06066-5037
Mailing address
29 Naek Rd
Suite 5
Vernon, CT 06066-3942
Phone (860) 872-2289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004261062 | Medicaid | CT |
Other names 1
- Susan Czarnecki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557
55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Access P.C. | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients | |
| Joel M. Miller M.D. PC | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients | |
| Prospect Manchester Hospital, Inc. | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
520 Hartford Tpke
Ste M
Vernon Rockville, CT 06066
Phone (860) 872-8321
Interoperability endpoints
- susanizzo@mpp.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
dba Eastern Orthopeadics and Sports Medicine, PC
- Specialist
- South Windsor, CT
- NPI 1497864516
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield, CT
- NPI 1366500407
-
- Health Educator
- South Windsor, CT
- NPI 1821695222
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vernon, CT
- NPI 1619847324
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1881644631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 NAEK RD",
"address_2": "SUITE 5",
"city": "VERNON",
"state": "CT",
"postal_code": "060663942",
"telephone_number": "860-872-2289",
"fax_number": "860-896-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HARTFORD TPKE",
"address_2": "SUITE N",
"city": "VERNON",
"state": "CT",
"postal_code": "060665037",
"telephone_number": "860-872-8321",
"fax_number": "860-875-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZZO",
"first_name": "SUSAN",
"middle_name": "CHARMAINE",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "003300",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004261062",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CZARNECKI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.