Individual provider Active NPI

Susanna Chase, PAC

  • Medical Physician Assistant
  • Lebanon, PA
National Provider Identifier
1548288129
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055695 Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042-6111
Phone
(717) 639-3150
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6022969-1206 UT
Medical Physician Assistant 363AM0700X MA055695 PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042-6111

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 738-6753

Other practice location 2

202 Hathaway Park
Lebanon, PA 17042-6162
Phone (717) 639-3150

Other practice location 3

844 Tuck St
Lebanon, PA 17042-7477
Phone (717) 639-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130307000209 PA Practitioner - Physician Assistant 2668491515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

252 S 4TH St
Wellspan Palliative and Supportive Care
Lebanon, PA 17042-6111
Phone (717) 639-3150

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6022969-1206UTMDPhysician Assistant
MA055695PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 21, 2013 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 14, 2021 Accepting new patients
Good Samaritan Physician Services CurrentSince Jan 12, 2026 Accepting new patients
Good Samaritan Physician Services CurrentSince Jan 12, 2026 Accepting new patients
Lancaster General Hospital CurrentSince Jan 21, 2013 Accepting new patients
Good Samaritan Physician Services Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

890 Poplar Church Rd
Ste 210
Camp Hill, PA 17011
Phone (717) 724-6320

460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

202 Hathaway Park
Lebanon, PA 17042
Phone (717) 270-7672

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Organizations & group practices 8

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.

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1548288129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-639-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229606",
            "country_code": "US",
            "telephone_number": "717-738-6753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Hathaway Park",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426162",
            "country_code": "US",
            "telephone_number": "717-639-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "844 Tuck St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427477",
            "country_code": "US",
            "telephone_number": "717-639-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "SUSANNA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6022969-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.