Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susha Thomas Panicker, PMHNP-BC, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1558410787

Susha Thomas Panicker, PMHNP-BC, FNP-BC is a Nurse Practitioner in Clinton Township, Michigan. Qualified in 2006, 20 years ago. Practices with County of Macomb, a 81-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

42669 Garfield Rd
Clinton Township, MI 48038-1653
Phone: (800) 395-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11800 E 12 Mile Rd, Warren, MI 48093-3472 — (586) 420-6318

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704240933 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704240933 (MI)

Record details

NPI number1558410787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice County Of Macomb — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Clinton Township