SUSAN DIANE ROBERTS PA-C
NPI 1114966686
Physician Assistant - Medical in Lewisburg, PA

Q: What is Susan Roberts's NPI number?

The NPI number for Susan Roberts is 1114966686. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Susan Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Roberts was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

131 JPM RD STE A, LEWISBURG, PA 17837(570) 523-6115(570) 523-6178 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2020, Dec 30, 2015 (2 updates tracked since 2015).

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About Susan Diane Roberts Pa-c NPPES

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

SUSAN DIANE ROBERTS PA-C (NPI 1114966686) is an individual medical provider in Lewisburg, Pennsylvania, licensed in Pennsylvania (MA051057) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1114966686

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSUSAN DIANE ROBERTSCredential: PA-C

Location Address131 JPM RD STE ALewisburg, PA 17837-9309

Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185

Phone(570) 523-6115

Fax(570) 523-6178

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJune 6, 2006

Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration

NPPES CertifiedOctober 5, 2020

✔ NPI 1114966686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA051057

Also ListedPhysician AssistantTaxonomy 363A00000X · License OA000816 (PA)

131 JPM RD STE A, Lewisburg, PA 17837

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Other Identifiers 1

Other1031658940001PA · Medicaid

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

Susan Diane Roberts Pa-c 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 ID9032121215

PECOS Enrollment IDI20060707000303

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

340 services205 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

111 services63 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

97 services19 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

77 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services26 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

23 services22 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390013

LocationOne Hospital DriveLewisburg, PA 17837 · Union County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers21 claims59 services$5.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DAVID BRADLEY GRAY DO

Family Medicine

131 JPM RD STE A
LEWISBURG, PA 17837

Union County (570) 523-6115

BRYANNA ELIZABETH KINNA PA-C

Physician Assistant

131 JPM RD STE A
LEWISBURG, PA 17837

Union County (570) 523-6115

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 Susan Roberts's NPI number?

The NPI number for Susan Roberts is 1114966686. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Susan Roberts located?

Susan Roberts practices at 131 Jpm Rd Ste A, Lewisburg, PA 17837. The listed phone number is (570) 523-6115.

What is Susan Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Roberts enrolled in Medicare?

Yes. Susan Roberts 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.

Is Susan Roberts affiliated with any hospitals?

According to CMS data, Susan Roberts is affiliated with Evangelical Community Hospital.

When was this NPI record last updated?

The NPPES record for Susan Roberts was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.