SUSAN A. BRODEUR PA-C
NPI 1477936847
Physician Assistant - Medical in Essex Junction, VT

Active since July 03, 2015PECOS Enrolled
77 WEED RD, ESSEX JUNCTION, VT 05452(802) 871-0246(802) 332-3117 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2024, Feb 7, 2024, Sep 16, 2020 (3 updates tracked since 2020).

About Susan A. Brodeur Pa-c NPPES

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

SUSAN A. BRODEUR PA-C (NPI 1477936847) is an individual medical provider in Essex Junction, Vermont, licensed in Vermont (055.0031295) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2015).

NPPES Registry Identity

NPI1477936847
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN A. BRODEURCredential: PA-C
Location Address77 WEED RDEssex Junction, VT 05452-2724
Mailing Address77 Weed RdEssex Junction, VT 05452-2724 · (802) 871-0246 · Fax (802) 332-3117
Fax(802) 332-3117
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2015
Enumeration DateJuly 3, 2015
Last NPPES UpdateJuly 6, 20243 updates tracked since enumeration
NPPES CertifiedJuly 6, 2024
NPI 1477936847 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 VT · 055.0031295
Also ListedPhysician AssistantTaxonomy 363A00000X · License 055.0031295 (VT)
77 WEED RD, Essex Junction, VT 05452

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 A. Brodeur Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113236597
PECOS Enrollment IDI20160621001944
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

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.
34 services13 patients

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Addiction Psychiatry)
77 WEED RD
ESSEX JUNCTION, VT 05452

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 Brodeur's NPI number?

The NPI number for Susan Brodeur is 1477936847. It was assigned to this individual provider in the NPPES registry on July 3, 2015.

Where is Susan Brodeur located?

Susan Brodeur practices at 77 Weed Rd, Essex Junction, VT 05452. The listed phone number is (802) 871-0246.

What is Susan Brodeur's specialty?

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

Is Susan Brodeur enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Brodeur was last updated on July 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.