SUSAN LIDSTONE – Psychiatric/Mental Health Nurse Practitioner, NPI 1548356900

SUSAN LIDSTONE is a healthcare provider. based in South portland, Maine. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. RN20742 (ME). The NPI Number for SUSAN LIDSTONE is 1548356900

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN LIDSTONE
NPI
1548356900
Phone
(207) 842-6556
Address
78 ATLANTIC PL
Enumeration Date
5 October 2006
Last Update Date
10 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8442920111
Graduation Year
1999 (27 years ago)
PAC ID
8820046261
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20120614000691
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for SUSAN LIDSTONE

  • 78, Atlantic Place, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041062316

    Phone: (207) 842-6556

    Fax: (207) 842-7773

    Type: Mailing

  • Maine Behavioral Healthcare, 12, Union Street, Rockland, Knox County, Maine, 04841, United States

    ROCKLAND, ME 048412739

    Phone: (207) 701-4400

    Fax: (207) 701-4486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517860588View full group profile

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Frequently asked questions

How is SUSAN LIDSTONE identified in CMS data?
CMS-hosted NPPES data lists SUSAN LIDSTONE with NPI 1548356900.
Is SUSAN LIDSTONE listed as active for patients and plans?
The listing shows SUSAN LIDSTONE as active in the NPI system.
What taxonomy line describes SUSAN LIDSTONE?
For research purposes, treat SUSAN LIDSTONE as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SUSAN LIDSTONE on a map?
Expect South Portland, Maine as a primary anchor for SUSAN LIDSTONE unless the record lists multiple sites.
Why does SUSAN LIDSTONE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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