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

Mrs. Susan Jane Ponivas, RN, ANP

Individual provider Nurse Practitioner · NPI 1467614230

Mrs. Susan Jane Ponivas, RN, ANP is a Nurse Practitioner in Elmira, New York. Graduated from State University of New York at Buffalo School of Medicine in 2008, 18 years ago. Practices with Mount St Marys Hospital of Niagara Falls, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
18
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NC, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

602 Ivy St Fl 2
Elmira, NY 14905-1646
Phone: (607) 737-4333
Fax: (607) 737-4271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015271 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 304914 (NY)

Record details

NPI number1467614230
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , ANP
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Mount St. Marys Hospital Of Niagara Falls — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Elmira