Active NPIIndividual provider

Gabriel W Susen, AGACNP

Nurse Practitioner, Acute Care in Bangor, Maine

NPI Number1942091178
Practice location
1 Northeast Dr, Bangor, ME 04401-4332
Fax
207-275-3836
Last updated
December 22, 2025

Gabriel William Susen is a Nurse Practitioner, Acute Care based in Bangor, ME. Gabriel William Susen practices in Bangor, ME and has the professional credentials of AGACNP. The NPI Number for Gabriel William Susen is 1942091178 and holds a License No. RN74008 (ME). The current practice location address for Gabriel William Susen is 1 Northeast Dr, Bangor, ME 04401-4332 and can be reached out via phone at 207-275-3800 and via fax at 207-275-3836.

Provider Profile Details

NPI Number
1942091178
Provider Name
Gabriel William Susen
Credential
AGACNP
Provider Entity Type
Individual
Gender
Male
Address
1 Northeast Dr, Bangor, ME 04401-4332
Phone Number
207-275-3800
Fax Number
207-275-3836
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2025
Last Update Date
December 22, 2025
Certification Date
December 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Northeast Dr
Bangor, ME 04401-4332
City
Bangor
State
Maine
Zip
04401-4332
Phone Number
207-275-3800
Fax Number
207-275-3836
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006
City
Brewer
State
ME
Zip
04412-1006
Phone Number
207-973-5000
Fax Number
207-973-5042

License Information

License Number (1)
RN74008
License State (1)
ME
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
CNP251557
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X · Primary
License Number (3)
95271729
License State (3)
CA
Taxonomy (3)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gabriel W Susen, AGACNP?

The NPI number of Gabriel W Susen, AGACNP is 1942091178. It was assigned on May 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Gabriel W Susen, AGACNP?

Gabriel W Susen, AGACNP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in ME under license number RN74008.

Where does Gabriel W Susen, AGACNP practice?

The practice location is 1 Northeast Dr, Bangor, ME 04401-4332. The office can be reached at 207-275-3800 (phone) or 207-275-3836 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942091178 directly on the NPPES registry website.

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