Active NPI
Susanna Chase, PAC
- Medical Physician Assistant
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA055695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6022969-1206 | UT | MD | Physician Assistant |
| MA055695 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Lancaster General Hospital | Current | 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.
-
- Internal Medicine Physician
- Chambersburg, PA
- NPI 1356117675
-
- Cardiovascular Disease Physician
- York, PA
- NPI 1497521702
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1326064460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.