DR. JONATHAN L SUSA I D.O.
NPI 1295909752
Obstetrics & Gynecology in Hudson, WI

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
2651 HILLCREST DRIVE, HUDSON, WI 54016(715) 531-6800(715) 531-6801 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan L Susa I D.o. NPPES

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

DR. JONATHAN L SUSA I D.O. (NPI 1295909752) is an individual obstetrics & gynecology provider in Hudson, Wisconsin, licensed in Wisconsin (51842) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2004).

NPPES Registry Identity

NPI1295909752
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JONATHAN L SUSA ICredential: D.O.
Location Address2651 HILLCREST DRIVEHudson, WI 54016-4439
Mailing Address2651 Hillcrest Drive, Suite 303Hudson, WI 54016-4439 · (715) 531-6800 · Fax (715) 531-6801
Fax(715) 531-6801
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2004
Enumeration DateApril 16, 2008
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
NPI 1295909752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 51842
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2651 HILLCREST DRIVE, Hudson, WI 54016

Other Identifiers 1

Medicaid43549400WI

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 and accepts Medicare assignment

Dr. Jonathan L Susa I D.o. 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 ID2264508399
PECOS Enrollment IDI20080913000102
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 54016 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Physical Medicine & Rehabilitation
2651 HILLCREST DRIVE
HUDSON, WI 54016
Obstetrics & Gynecology (Obstetrics)
2651 HILLCREST DRIVE
HUDSON, WI 54016
Obstetrics & Gynecology
2651 HILLCREST DRIVE
HUDSON, WI 54016
Pediatrics (Pediatric Endocrinology)
2651 HILLCREST DRIVE
HUDSON, WI 54016
Physician Assistant
2651 HILLCREST DRIVE
HUDSON, WI 54016
Pediatrics
2651 HILLCREST DRIVE
HUDSON, WI 54016
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016

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 Jonathan Susa's NPI number?

The NPI number for Jonathan Susa is 1295909752. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Jonathan Susa located?

Jonathan Susa practices at 2651 Hillcrest Drive, Hudson, WI 54016. The listed phone number is (715) 531-6800.

What is Jonathan Susa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathan Susa enrolled in Medicare?

Yes. Jonathan Susa 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.

What insurance does Jonathan Susa accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Jonathan Susa 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 Jonathan Susa was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.