Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriel William Susen, AGACNP

Individual provider Registered Nurse · NPI 1942091178

Gabriel William Susen, AGACNP is a Nurse Practitioner in Bangor, Maine. Qualified in 2025, 1 year ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
1
Licensed in
CA, ME
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

1 NE Dr
Bangor, ME 04401-4332
Phone: (207) 275-3800
Fax: (207) 275-3836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP251557 (ME)
Registered Nurse Taxonomy 163W00000X · Licence RN74008 (ME)
Registered Nurse Taxonomy 163W00000X · Licence 95271729 (CA)

Record details

NPI number1942091178
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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