SUSAN ELIZABETH GAGNON NPI 1922280817

NPI Information

  • NPI: 1922280817
  • Provider Name: SUSAN ELIZABETH GAGNON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 652 GEORGE WASHINGTON HWY UNIT 400
    LINCOLN, RI
    ZIP 02865
  • Phone: (401) 334-1830

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NPI Details

Susan Elizabeth Gagnon is a psychiatric/mental health nurse practitioner in Lincoln, RI with 20 years of experience. Susan Elizabeth Gagnon NPI is 1922280817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

652 GEORGE WASHINGTON HWY UNIT 400
LINCOLN, RI
ZIP 02865-267
Phone: (401) 334-1830
Fax: (401) 334-1833

The NPI 1922280817 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)

The enumeration date for this NPI number is 12/3/2007 and was last updated on 10/8/2025.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthAPRN00356RHODE ISLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN04102RHODE ISLANDYes
3363LP0808XNurse PractitionerPsychiatric/Mental HealthRN211088MASSACHUSETTSNo

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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