MS. SUSAN OUELLETTE APRN NPI 1720164320

NPI Information

  • NPI: 1720164320
  • Provider Name: MS. SUSAN OUELLETTE, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2124 RAMONA LN
    WOODSTOCK, MD
    ZIP 21163
  • Phone: (410) 236-9951

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NPI Details

MS. Susan Ouellette, APRN is a psychiatric/mental health nurse practitioner in Woodstock, MD with 24 years of experience. MS. Susan Ouellette, APRN NPI is 1720164320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

2124 RAMONA LN
WOODSTOCK, MD
ZIP 21163-248
Phone: (410) 236-9951

The NPI 1720164320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health00000MINNESOTANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health003720CONNECTICUTNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthR117618MARYLANDNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health36255TENNESSEENo
5363LP0808XNurse PractitionerPsychiatric/Mental Health0386509MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
161087301-PR31OTHERMARYLANDCAREFIRST
2772103000MEDICAIDMARYLAND
3M644-0001OTHERMARYLANDBLUE CROSS/BLUE SHIELD
4537442000OTHERMARYLANDMAGELLAN
5015LM670OTHERMARYLANDMEDICARE NUMBER URBAN BEHAVIORAL ASSOCIATES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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