Individual provider Active NPI

Susan Cogswell

  • Physician Assistant
  • Coopersville, MI
National Provider Identifier
1497183248
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006741 Issued in 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
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006741 MI Primary

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

921 W Front St
Traverse City, MI 49684-2327
Phone (231) 252-0068

Other practice location 2

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-8644

Other practice location 3

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131227001497 MI Practitioner - Physician Assistant 6901033604 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
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 GroupGroup PAC ID 8820277015, 191 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006741MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Current Accepting new patients
Munson Medical Group CurrentSince Apr 23, 2024 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jul 24, 2020 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 16, 2013 Accepting new patients
Munson Medical Group CurrentSince Apr 23, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 16, 2013 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jul 24, 2020 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jul 31, 2023 Accepting new patients
Munson Medical Group Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

302 Hobart St
Cadillac, MI 49601
Phone (231) 775-8814

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

927 S Carmel St
Cadillac, MI 49601
Phone (231) 876-3876

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

25 Conran Dr
Ste B
Coopersville, MI 49404
Phone (616) 267-7860

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1200 Sixth St
Ste 200
Traverse City, MI 49684

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

Interoperability endpoints

  • Direct secure messaging: scogswell@direct.mhc.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1497183248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CONRAN DR",
            "address_2": "SUITE B",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041366",
            "telephone_number": "616-267-7860",
            "fax_number": "616-267-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 W Front St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842327",
            "country_code": "US",
            "telephone_number": "231-252-0068",
            "fax_number": "231-213-8729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012379",
            "country_code": "US",
            "telephone_number": "231-876-8644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-8686",
            "fax_number": "231-935-8708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGSWELL",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersville, MI

Sources for this page

Verify at the official NPI Registry.