Susan M Gisler, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R24089 Issued in NM

Practice address

3917 West Rd
Ste 128
Los Alamos, NM 87544-2275

Phone

(505) 662-4234

Fax

(505) 662-7894

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• Childrens Clinic, P.a.

  • Pediatrics Physician
  • Los Alamos, NM
  • NPI 1679793277
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902890593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BENYL ST",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-672-9578",
            "fax_number": "505-662-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "STE 128",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4234",
            "fax_number": "505-662-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISLER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "R24089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51342",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhavi Garimella, M.D.
• David Roger Gartz, DDS
• Edward Gellis
• Donna Marie Giaquinto, LPCC
• Kelly Christine Gill, LMT
• Dawn K Glover, DDS
• GLS Clinical Social Work LLC
• Laurence Goddard, MD
• Tina R Goldsmith, PH.D., BCBA-D
• Autumn Marie Gonzales

• Pediatric Nurse Practitioner in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.