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

Individual provider Adult Health Nurse Practitioner · NPI 1407084189

Susan D Kraker, NURSEPRACTITIONER is a Nurse Practitioner in Mineola, New York. Qualified in 2000, 26 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 303178 (NY)

Record details

NPI number1407084189
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola