Susan E Geetersloh Nurse Practitioner
118 Moosehead Trl, Suite 5, Newport, ME 04953-4056


Susan E Geetersloh is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1871537100. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8921026543. The medical credential is NP. The primary specialty is NURSE PRACTITIONER. The organization is SEBASTICOOK FAMILY DOCTORS. The address is 118 Moosehead Trl, Suite 5, Newport, ME 04953-4056. The zip code is 04953.


Susan E Geetersloh · 118 Moosehead Trl, Suite 5, Newport, ME 04953-4056

Nation Provider ID 1871537100
PAC ID by PECOS 8921026543
Professional Enrollment ID I20051102000770
Last Name GEETERSLOH
First Name SUSAN
Middle Name E
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Primary Specialty SEBASTICOOK FAMILY DOCTORS
Phone Number 2073685189
Group Practice PAC ID 8224924576
Number of Group Practice Members 10
Address 118 MOOSEHEAD TRL
SUITE 5
NEWPORT, ME 049534056
Claims Based Hospital Affiliation Claim Control Number (CCN): 201309
Legal Business Name: MAYO REGIONAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 201313
Legal Business Name: SEBASTICOOK VALLEY HEALTH
Claims Based Hospital Affiliation Claim Control Number (CCN): 200033
Legal Business Name: EASTERN MAINE MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 200001
Legal Business Name: ST JOSEPH HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Sebasticook Family Doctors · Medicare Physician

Name Address Specialty
Penny Deraps 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Kathleen O Callahan 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Alexandra Idenburg 118 Moosehead Trl, Newport, ME 04953-4056 GENERAL PRACTICE
Andrea Vianna 118 Moosehead Trl, Newport, ME 04953-4056 PEDIATRIC MEDICINE
Kathleen Childs 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Arthur Blake 118 Moosehead Trl, Newport, ME 04953-4056 FAMILY PRACTICE
Dale Lowe 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Jennifer Maki 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Lauren Kricheff 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER

Zip 04953 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Kathleen O Callahan 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Penny Deraps 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Kathleen Childs 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Dale Lowe 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Valerie Jarman 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER
Lauren Kricheff 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Jennifer Maki 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Ben Hieronymus 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER
Shelly Roope 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER

Zip 04953 · Medicare Physician

Name Address Specialty
Ian Jones 419 Moosehead Trl, Newport, ME 04953-4054 OPTOMETRY
Kiran Jones 419 Moosehead Trl, Newport, ME 04953-4054 OPTOMETRY
Arielle Costello 419 Moosehead Trl, Newport, ME 04953-4054 OPTOMETRY
Dale Lowe 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Alexandra Idenburg 118 Moosehead Trl, Newport, ME 04953-4056 GENERAL PRACTICE
Valerie Jarman 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER
April Hertlein 26 Main St, Newport, ME 04953-4163 FAMILY PRACTICE
Penny Deraps 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Andrea Vianna 118 Moosehead Trl, Newport, ME 04953-4056 PEDIATRIC MEDICINE
Kathleen Childs 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Ben Hieronymus 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER
Shelly Roope 26 Main St, Newport, ME 04953-4163 NURSE PRACTITIONER
John Baker 26 Main St, Newport, ME 04953-4163 FAMILY PRACTICE
Lauren Kricheff 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Arthur Blake 118 Moosehead Trl, Newport, ME 04953-4056 FAMILY PRACTICE
Michael Saulter 8 Main St, Newport, ME 04953-4157 CHIROPRACTIC
Karl Sitterly 26 Main St, Newport, ME 04953-4163 FAMILY PRACTICE
Kathleen O Callahan 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER
Jennifer Maki 118 Moosehead Trl, Newport, ME 04953-4056 NURSE PRACTITIONER