Look up the most recent NPI and PECOS records

Susan Quinn

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

95 Bradhurst Ave, Valhalla, NY 10595-1697

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Quinn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 32 days ago.

Profile Details

Provider ID
1275153439
Provider Type
Individual
Full Name
Quinn, Susan
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2020
Last Updated
5/7/2025

Contact Information

Practice Location

95 Bradhurst Ave, Valhalla, NY 10595-1697

(914) 831-2402

Unlisted Fax

Mailing Location

95 Bradhurst Ave, Valhalla, NY 10595-1637

(914) 831-2402

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F345787-01 New York

Susan Quinn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bideiwy, Tara Ann

Tejada, Delilah C

Nakagawa, Shellyann Yan

Cunningham, Christine L

Benoit, Tamara

Sebastian, Demy Ann

Wynne, Mary G

Balista, Vita Merylle

Sulemana, Deborah

Floriant, Franceska