Sue C Schoonover, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16766 Issued in CA

Practice address

1300 Mable Ave Ste 2
Modesto, CA 95355-1120

Phone

(209) 448-3000

Fax

(209) 273-2722

NPI assigned

Aug 11, 2006

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

Other names 1

• Sue C Colson Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Norcal Pain Treatment Center CorpGroup PAC ID 5698007086, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sue.schoonover@3441.securemail.prognocis.com

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

• Norcal Pain Treatment Center Corp

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Turlock, CA
  • NPI 1720631708
  Medicare reassignment Care Compare group
• Norcal Pain Treatment Center Corp.

  • Clinic/Center
  • Modesto, CA
  • NPI 1518850569
  NPD
• Center for Sleep & Wake Disorders

  • Specialist
  • Danville, IN
  • NPI 1245266634
  NPD (past)
• Mid American Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Dover, OH
  • NPI 1174563670
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1497766430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "953261462",
            "telephone_number": "209-448-3000",
            "fax_number": "209-273-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MABLE AVE STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551120",
            "telephone_number": "209-448-3000",
            "fax_number": "209-273-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 McHenry Ave",
            "address_2": "#135",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "209-571-1693",
            "fax_number": "209-571-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "SUE",
        "middle_name": "C",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA 16766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "COLSON",
            "middle_name": "C",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Schnaidt, PHARM.D.
• Robert E Schneider, PH.D.
• Yesenia Schneider
• Nichole Schoene
• Katherine Mary Scholten, LMSW
• Phyllis Schorr, MD
• Schulin Invest LLC
• Ashley N Schulke
• Grace Schulz
• Paul J Schunke, M.D.

• Physician Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.
• 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.