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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN K BUSSERT
NPI 1205835014
Physician Assistant - Medical in Grandview, WA

Active since July 14, 2005PECOS Enrolled
222 E 2ND ST, GRANDVIEW, WA 98930(509) 882-3500(509) 882-2392 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan K Bussert NPPES

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

SUSAN K BUSSERT (NPI 1205835014) is an individual medical provider in Grandview, Washington and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205835014
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN K BUSSERT
Location Address222 E 2ND STGrandview, WA 98930-1342
Mailing Address222 E 2nd StGrandview, WA 98930-1342 · (509) 882-3500 · Fax (509) 882-2392
Phone(509) 882-3500
Fax(509) 882-2392
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205835014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
222 E 2ND ST, Grandview, WA 98930
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Other Identifiers 1

Medicaid8352015WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan K Bussert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

SEVE MANUEL
Nurse Practitioner (Family)
222 E 2ND ST
GRANDVIEW, WA 98930
Yakima County (509) 203-6501
JOSEPH ISIAH PENAFLOR DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
222 E 2ND ST
GRANDVIEW, WA 98930
Yakima County (509) 203-6501
MRS. DESAREE WANCHO APRN
Nurse Practitioner (Psychiatric/Mental Health)
222 E 2ND ST
GRANDVIEW, WA 98930
Yakima County (509) 203-6501
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
222 E 2ND ST
GRANDVIEW, WA 98930
Yakima County (509) 203-6501

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 Bussert's NPI number?

The NPI number for Susan Bussert is 1205835014. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Susan Bussert located?

Susan Bussert practices at 222 E 2nd St, Grandview, WA 98930. The listed phone number is (509) 882-3500.

What is Susan Bussert's specialty?

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

Is Susan Bussert enrolled in Medicare?

Yes. Susan Bussert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Bussert was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.