Susan K Bussert

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

222 E 2ND St
Grandview, WA 98930-1342

Phone

(509) 882-3500

Fax

(509) 882-2392

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205835014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301342",
            "telephone_number": "509-882-3500",
            "fax_number": "509-882-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301342",
            "telephone_number": "509-882-3500",
            "fax_number": "509-882-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSERT",
        "first_name": "SUSAN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8352015",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Bravo, ARNP
• Paige Briggs, RD
• Gary Brouwer
• Roberta Brouwer
• David A Bullock, PT
• Dennis Dewayne Byam, D.C.
• Max Jin Zhe Cai, DDS
• Christopher Calderon-Rogers, MD
• Camacho Chiropractic and Sports Medicine LLC
• Juan Ramon Camacho, DC

• Medical Physician Assistant in Grandview, WA
• Providers in Grandview, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.