SUSAN MIZELLE PA
NPI 1295043602
Physician Assistant - Surgical in Johnson City, TN

Active since September 20, 2010PECOS Enrolled
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6111 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Mizelle Pa NPPES

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

SUSAN MIZELLE PA (NPI 1295043602) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (1883) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295043602
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSUSAN MIZELLECredential: PA
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing Address1185 W Mountain View Rd, Apartment 1301Johnson City, TN 37604-2523 · (423) 276-4033
Sole ProprietorNo
Enumeration DateSeptember 20, 2010
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1295043602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 1883
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1883 (TN)
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 1

Former Name (1)Susan Salyer Pa

Accepted Insurance

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 Mizelle Pa 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 20

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

Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

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 Mizelle's NPI number?

The NPI number for Susan Mizelle is 1295043602. It was assigned to this individual provider in the NPPES registry on September 20, 2010. The provider is also known as Susan Salyer PA.

Where is Susan Mizelle located?

Susan Mizelle practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6111.

What is Susan Mizelle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Susan Mizelle enrolled in Medicare?

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

What insurance does Susan Mizelle accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Susan Mizelle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Mizelle was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.