Individual Healthcare Provider
Susan Jane Nolan, PA-C
Provider's NPPES record last updated: June 27, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104121243
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Port Charlotte, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:39 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Florida)
- PA9105671
Practice Locations
Practice Location
22655 Bayshore Rd Ste 110
Port Charlotte, Florida 33980-2005
Phone: (941) 235-4900
Additional Practice Location
9400 Gladiolus Drive
Suite 250
Fort Myers, Florida 33908-7600
Phone: (239) 689-5100
Fax: (239) 689-5107
Additional Practice Location
16410 Healthpark Commons Dr
Fort Myers, Florida 33908
Phone: (239) 343-6202
Fax: (239) 437-8537
Record Information
- Enumeration Date
- January 21, 2011
- Provider's NPPES Record Last Updated
- June 27, 2024
- Certification Date
- June 27, 2024
- NPISignal NPPES Dataset
- August 2026
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