Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Susan Ingram

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1952779878

Susan Ingram is a Nurse Practitioner in Stony Brook, New York. Qualified in 2022, 4 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-1651
Phone: (631) 638-1000
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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 310911 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 704126-1 (NY)

Record details

NPI number1952779878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients39
Services billed 77 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Stony Brook Internists University Faculty Practice Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 428 clinicians in the practice; 12 are shown here.

Other providers in Stony Brook