Susan Fackelman
NPI 1437259777ActiveIndividual· Nurse Anesthetist, Certified Registered· Mineola, NY
Nurse Anesthetist, Certified Registered with North Shore - Lij Anesthesiology, PC, practicing in Mineola, New York. Medicare paid $14,449 for services to 77 patients in 2024. Lists Long Island Jewish Medical Center as a hospital affiliation.
Overview
| NPI | 1437259777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Jul 14, 2020 |
| Certified by provider | Jul 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 6675 | NY |
| Nurse Anesthetist, Certified Registered | 367500000X | 407482 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 79 across 31 procedure codes |
| Paid by Medicare | $14,449 |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- North Shore - Lij Anesthesiology, PCUniondale, NY · 1,003 clinicians
Hospital affiliation
- Long Island Jewish Medical CenterNew Hyde Park, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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