Susan Marie Powell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63730 Issued in CA

Practice address

4849 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-2121

Phone

(818) 817-6377

Fax

(747) 389-7005

NPI assigned

Dec 6, 2023

Last updated

May 8, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 29, 2025 through Dec 29, 2027

Merit-based Incentive Payment System (MIPS)

Final score

79.38 of 100Reported as group

Quality

84.62

Improvement activities

40

Cost

51.77

Merit-based Incentive Payment System (MIPS)

Final score

81.76 of 100Reported as group

Quality

90.68

Improvement activities

40

Cost

51.61

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ness - Nevo Sports and Spine

  • Physical Medicine & Rehabilitation Physician
  • Sherman Oaks, CA
  • NPI 1275109589
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1326815663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 6TH ST APT 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 VAN NUYS BLVD STE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032121",
            "telephone_number": "818-817-6377",
            "fax_number": "747-389-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Potz, LMFT
• Pouldar Kimia and Lorenz Dental Partnership
• Edwin Jakob Pouldar, DDS
• Ari Pouya
• Lisa Susanne Powell, PSYCHOLOGIST
• Power of Story LLC
• Robyn Patricia Power
• Jessica Lyn Prange, OTR/L
• Johnrobert Preciado
• Premier Diagnostic & Interventional Specialists

• Physician Assistant in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.