MS. SUSANA K CHAN PA
NPI 1114004744
Physician Assistant in Jackson Heights, NY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7206 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372(866) 670-6824 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Dec 13, 2022 (2 updates tracked since 2022).

About Ms. Susana K Chan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSANA K CHAN PA (NPI 1114004744) is an individual physician assistant in Jackson Heights, New York, licensed in New York (010893) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114004744
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SUSANA K CHANCredential: PA
Location Address7206 NORTHERN BLVDJackson Heights, NY 11372-1049
Mailing Address4860 186th StFresh Meadows, NY 11365-1109 · (646) 271-7166
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1114004744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 010893
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7206 NORTHERN BLVD, Jackson Heights, NY 11372

Other Identifiers 1

Medicaid00246075NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Susana K Chan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365541505
PECOS Enrollment IDI20250828004652
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Family Medicine (Sports Medicine)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Medicine & Rehabilitation (Sports Medicine)
7206 NORTHERN BLVD, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Radiology (Diagnostic Radiology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Radiology (Diagnostic Radiology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Neuromusculoskeletal Medicine, Sports Medicine
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Chan's NPI number?

The NPI number for Susana Chan is 1114004744. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Susana Chan located?

Susana Chan practices at 7206 Northern Blvd, Jackson Heights, NY 11372. The listed phone number is (866) 670-6824.

What is Susana Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susana Chan enrolled in Medicare?

Yes. Susana Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susana Chan was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.