SUSAN ANDREA (NP) – Family Nurse Practitioner, NPI 1902966039

SUSAN ANDREA (NP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 149570 (MA). The NPI Number for SUSAN ANDREA (NP) is 1902966039

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN ANDREA (NP)
NPI
1902966039
Phone
(508) 588-1200
Address
111 TORREY ST
Enumeration Date
11 December 2006
Last Update Date
4 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085881200
Graduation Year
1991 (35 years ago)
PAC ID
1153354469
Group Practice PAC ID
4688576721
Professional Enrollment ID
I20050916000561
Address ID
MA023014800BR111XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for SUSAN ANDREA (NP)

  • 111, Torrey Street, Winters Corner, Brockton, Plymouth County, Massachusetts, 02301, United States

    SUITE A

    BROCKTON, MA 023014800

    Phone: (508) 588-1200

    Fax: (508) 941-0497

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,968.

Total Amount is formed as General ($1,968) + Research ($0) + Ownership ($0) = $1,968.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($601).

Total Amount

$1,968

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,968

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050916000561INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 02301)

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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: 4688576721View full group profile
NameSpecialtyState
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
Family PracticeMA

Reviews

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Frequently asked questions

Is SUSAN ANDREA (NP) listed with a National Provider Identifier?
Yes — SUSAN ANDREA (NP) has NPI 1902966039 on file in the registry.
Active or inactive — what applies to SUSAN ANDREA (NP)?
You should see SUSAN ANDREA (NP) as active in CMS-hosted NPPES data.
How would a patient describe SUSAN ANDREA (NP)'s focus?
For SUSAN ANDREA (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SUSAN ANDREA (NP) located near Brockton?
SUSAN ANDREA (NP) currently maps to Brockton, Massachusetts in this extract.
When was this NPI issued?
Enumeration for SUSAN ANDREA (NP) is noted as December 11, 2006 where the registry provides it.

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