SUSAN ELIZABETH GAGNON – Psychiatric/Mental Health Nurse Practitioner, NPI 1922280817
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in RI
Provider Addresses for SUSAN ELIZABETH GAGNON
652 GEORGE WASHINGTON HWY UNIT 400
LINCOLN, RI 028654267
Phone: (401) 334-1830
Fax: (401) 334-1833
Type: Location
1981 Broad St
Cranston, RI 029053430
Phone: (401) 859-3335
Fax: (401) 246-4655
Type: Location
PO BOX 9014
WARWICK, RI 028890014
Phone: (401) 859-3335
Fax: (401) 246-4655
Type: Mailing
450, Clinton Street, Social, Woonsocket, Providence County, Rhode Island, 02895, United States
THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 028953207
Phone: (401) 767-4100
Fax: (401) 235-6899
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $486.
Total Amount is formed as General ($486) + Research ($0) + Ownership ($0) = $486.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: ABBVIE INC. ($348).
Total Amount
$486
General + Research + Ownership
Payments
33
Total payment records
General Amount
$486
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $348 |
| Axsome Therapeutics, Inc. | $103 |
| Corium, LLC | $21 |
| Supernus Pharmaceuticals, Inc. | $13 |
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: 2025-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080229000350 | I | Certified Clinical Nurse Specialist (Cns) | RI | TBD |
| I20251016003239 | I | Nurse Practitioner | MA | TBD |
| I20251021000791 | I | Nurse Practitioner | RI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 218 | 45 | $0 |
Insurance plans in this area (ZIP 02865)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | RI | 90792 | Psychiatric diagnostic evaluation with medical services | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| - | RI | |
| Nurse Practitioner | RI |
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