Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN PUCKETT P.A.
NPI 1972588358
Physician Assistant - Medical in Boulder, CO

Active since December 08, 2005PECOS Enrolled
2750 BROADWAY ST, BOULDER, CO 80304(303) 440-3000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Apr 15, 2021 (2 updates tracked since 2021).

About Susan Puckett P.a. NPPES

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

SUSAN PUCKETT P.A. (NPI 1972588358) is an individual medical provider in Boulder, Colorado, licensed in Colorado (954) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1972588358
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN PUCKETTCredential: P.A.
Location Address2750 BROADWAY STBoulder, CO 80304-3573
Mailing Address2750 Broadway StBoulder, CO 80304-3573 · (303) 440-3073 · Fax (303) 440-3170
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1972588358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 954
2750 BROADWAY ST, Boulder, CO 80304

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

Susan Puckett P.a. 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 ID446387153
PECOS Enrollment IDI20100428000337
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 10

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.
784 services627 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
478 services406 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services158 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
65 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
41 services40 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$87.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Therapist
2750 BROADWAY ST
BOULDER, CO 80304
Psychiatry & Neurology (Neurology)
2750 BROADWAY ST
BOULDER, CO 80304
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Nurse Practitioner (Adult Health)
2750 BROADWAY ST
BOULDER, CO 80304
Audiologist-Hearing Aid Fitter
2750 BROADWAY ST
BOULDER, CO 80304
Family Medicine
2750 BROADWAY ST
BOULDER, CO 80304
Internal Medicine (Gastroenterology)
2750 BROADWAY ST
BOULDER, CO 80304
Internal Medicine
2750 BROADWAY ST
BOULDER, CO 80304

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 Puckett's NPI number?

The NPI number for Susan Puckett is 1972588358. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Susan Puckett located?

Susan Puckett practices at 2750 Broadway St, Boulder, CO 80304. The listed phone number is (303) 440-3000.

What is Susan Puckett's specialty?

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

Is Susan Puckett enrolled in Medicare?

Yes. Susan Puckett 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.

When was this NPI record last updated?

The NPPES record for Susan Puckett was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.