Susan Nolan, PA-C
NPI 1104121243 · Medical Physician Assistant · Port Charlotte, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Nolan, PA-C is a Medical Physician Assistant provider in Port Charlotte, FL (NPI 1104121243).
Provider details
- NPI number
- 1104121243
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9105671 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 9400 Gladiolus DriveSuite 250Fort Myers, FL 33908-7600Phone: (239) 689-5100Fax: (239) 689-5107
- 16410 Healthpark Commons DrFort Myers, FL 33908Phone: (239) 343-6202Fax: (239) 437-8537
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Susan Nolan's NPI number?
- Susan Nolan's National Provider Identifier (NPI) is 1104121243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Nolan's specialty?
- Susan Nolan is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Susan Nolan located?
- Susan Nolan's practice location on file with NPPES is 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980-2005.
- What is Susan Nolan's phone number?
- The practice phone number listed in the NPPES registry for Susan Nolan is (941) 235-4900.
- Does Susan Nolan accept Medicare?
- Susan Nolan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Nolan's NPI active?
- Yes — Susan Nolan's NPI (1104121243) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.