Susan Elizabeth Gagnon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN04102 Issued in RI

Practice address

652 George Washington Hwy Unit 400
Lincoln, RI 02865-4267

Phone

(401) 334-1830

Fax

(401) 334-1833

NPI assigned

Dec 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.gagnon.1@33079.direct.athenahealth.com

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.

• Lightmind Psychiatry LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cranston, RI
  • NPI 1033944202

  MA

  Medicare reassignment NPD Authorized official
• Lincoln Psychiatric Services, Inc.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lincoln, RI
  • NPI 1194943845
  Medicare reassignment NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1922280817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9014",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028890014",
            "telephone_number": "401-859-3335",
            "fax_number": "401-246-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GEORGE WASHINGTON HWY UNIT 400",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654267",
            "telephone_number": "401-334-1830",
            "fax_number": "401-334-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1981 Broad St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029053430",
            "country_code": "US",
            "telephone_number": "401-859-3335",
            "fax_number": "401-246-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN00356",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04102",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN211088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Martha Frank, PSY.D.
• Linda Free
• Alexia Freeman
• Rebecca Jeanne Gaboury, M.E.D
• Nancy A Gage, CCC-SLP
• Rebecca Gallucci, M.S. CCC-SLP
• Victoria Gamble
• Daniel Gardner
• Raquel Sukanya Garmony
• Dove Garrett

• Psychiatric/Mental Health Nurse Practitioner in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.

Verify at the official NPI Registry.