SUSAN MARY HART JOHNSON PA-C
NPI 1497888002
Physician Assistant in Vernon, CT

Active since March 13, 2007PECOS Enrolled
30 HYDE AVE STE 109, VERNON, CT 06066(860) 454-0303(860) 875-4242 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2021, Nov 16, 2017 (2 updates tracked since 2017).

About Susan Mary Hart Johnson Pa-c NPPES

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

SUSAN MARY HART JOHNSON PA-C (NPI 1497888002) is an individual physician assistant in Vernon, Connecticut, licensed in Connecticut (000687) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497888002
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN MARY HART JOHNSONCredential: PA-C
Location Address30 HYDE AVE STE 109Vernon, CT 06066-4503
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (860) 263-0253 · Fax (860) 263-0262
Fax(860) 875-4242
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
NPI 1497888002 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 CT · 000687
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.

30 HYDE AVE STE 109, Vernon, CT 06066

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 Mary Hart Johnson Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 9

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

Nurse Practitioner (Family)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Family)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Family)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Adult Health)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Gerontology)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Family)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner (Acute Care)
30 HYDE AVE STE 109
VERNON, CT 06066
Nurse Practitioner
30 HYDE AVE STE 109
VERNON, CT 06066

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 Johnson's NPI number?

The NPI number for Susan Johnson is 1497888002. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Susan Johnson located?

Susan Johnson practices at 30 Hyde Ave Ste 109, Vernon, CT 06066. The listed phone number is (860) 454-0303.

What is Susan Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Johnson was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.