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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: October 18, 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
Phone(715) 531-6800
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
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Other Identifiers 1

Medicaid43549400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jonathan Susa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hudson Physicians, S.C.
Same address
Multi-Specialty
2651 HILLCREST DR
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Hudson Physicians Sc
  • 74 clinicians in this Medicare group
NPI 1770916827 (715) 531-6800
Hudson Imaging Partners LLC
0.1 mi
Diagnostic Radiology
2651 HILLCREST DR STE 103
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • 38 clinicians in this Medicare group
NPI 1346971371 (763) 398-2215
Baldwin Area Medical Center, Inc.
17 mi
Critical Access
1100 BERGSLIEN ST
Baldwin, WI 54002
  • Reassigned Medicare billing, Wisconsin enrollment
  • 211 clinicians in this Medicare group
NPI 1467496133 (715) 684-1111
Amery Regional Medical Center, Inc.
29 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 256 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JASON ALLEN LEE D.O.
Physical Medicine & Rehabilitation
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
EMILY LINKLATER DO
Obstetrics & Gynecology (Obstetrics)
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
ALYSSA J LYNCH DO
Obstetrics & Gynecology
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
JENNIFER J MCVEAN M.D.
Pediatrics (Pediatric Endocrinology)
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
MR. ALEXANDER BETTICH PA
Physician Assistant
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
MADISON A TEICH DO
Pediatrics
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
DR. DANA M DAHL MD
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800
TRAVIS SCOTT GREIMAN M.D.
Family Medicine
2651 HILLCREST DRIVE
HUDSON, WI 54016
St. Croix County (715) 531-6800

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.

Which organizations bill Medicare for Jonathan Susa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Susa reassigns Medicare benefits to 4 organizations: Hudson Physicians, S.C. (Hudson, WI), Hudson Imaging Partners LLC (Hudson, WI), Baldwin Area Medical Center, Inc. (Baldwin, WI) and Amery Regional Medical Center, Inc. (Amery, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Susa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Susa accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.