Susan Cogswell
Individual provider Active NPI Physician Assistant · Coopersville, MI
NPI 1497183248 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1497183248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006741 (MI)
- Practice address
- 25 Conran Dr
Suite B
Coopersville, MI 49404-1366 - Phone
- (616) 267-7860
- Fax
- (616) 267-7861
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Munson Medical Group
Munson Healthcare Cadillac
Practice addresses (Care Compare)
1200 6TH St
Traverse City, MI 49684-2369
Phone (231) 935-5800
217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8460
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131227001497 | MI | Practitioner - Physician Assistant | 6901033604 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006741 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Munson Medical Group | Current |
Accepting new patients | |
| Munson Medical Group | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
3782 Momentum Pl
Chicago, IL 60689
2891 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
927 S Carmel St
Cadillac, MI 49601
Phone (231) 876-3876
302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
25 Conran Dr
Ste B
Coopersville, MI 49404
Phone (616) 267-7860
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
1200 Sixth St
Ste 200
Traverse City, MI 49684
1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400
Interoperability endpoints
- scogswell@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006741 | MI | Yes |
Addresses
Primary practice location
25 Conran Dr
Suite B
Coopersville, MI 49404-1366
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Other practice location 1
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686
Other practice location 2
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-8644
Other practice location 3
921 W Front St
Traverse City, MI 49684-2327
Phone (231) 252-0068
Other providers in Coopersville, MI
- Bronson Eye Care, L.L.C
- Kimberley Bruce
- Jessica Bukrey
- Julie Kristine Bukrey
- Checordra LLC
- Kaylie Ann Cole
- Coopersville Chiropractic LLC
- Coopersville Dental Associates Inc
- Coopersville Vision Center PC
- Kari Cottrell
All providers in Coopersville, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.