SUE C SCHOONOVER PAC
NPI 1497766430
Physician Assistant in Modesto, CA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1300 MABLE AVE STE 2, MODESTO, CA 95355(209) 448-3000(209) 273-2722 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sue C Schoonover Pac NPPES

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

SUE C SCHOONOVER PAC (NPI 1497766430) is an individual physician assistant in Modesto, California, licensed in California (PA16766) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1497766430
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUE C SCHOONOVERCredential: PAC
Location Address1300 MABLE AVE STE 2Modesto, CA 95355-1120
Mailing AddressPo Box 1462Hughson, CA 95326-1462 · (209) 448-3000 · Fax (209) 273-2722
Fax(209) 273-2722
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 11, 2006
Last NPPES UpdateJune 17, 2025
NPPES CertifiedJune 17, 2025
NPI 1497766430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA16766
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1300 MABLE AVE STE 2, Modesto, CA 95355

Other Names 1

Former Name (1)Sue C Colson Pac

Secondary Practice Location 1

Location 11524 McHenry Ave, #135Modesto, CA 95350 · Phone (209) 571-1693 · Fax (209) 571-0326

Other Identifiers 1

OtherPA 16766CA · License Number

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

Sue C Schoonover Pac 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 ID4486951506
PECOS Enrollment IDI20180727000249
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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

Clinic/Center
1300 MABLE AVE STE 2
MODESTO, CA 95355
Nurse Practitioner (Family)
1300 MABLE AVE STE 2
MODESTO, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497766430, enumerated as an "individual" on August 11, 2006.

The provider is located at 1300 MABLE AVE STE 2 MODESTO, CA 95355 and the phone number is (209) 448-3000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.