NPIMap

Individual provider Active NPI

Susan Ghysels, PA-C

  • Physician Assistant
  • Centralia, WA
National Provider Identifier
1548410616
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60694076 Issued in WA
Practice address
914 S Scheuber Rd
Centralia, WA 98531-9027
Phone
(360) 827-8811
Fax
(360) 330-8969
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 PA60694076 WA Primary

Addresses

Primary practice location

914 S Scheuber Rd
Centralia, WA 98531-9027

Mailing address

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 827-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, ME3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140730002721 OR Practitioner - Physician Assistant 3173786076 Reassigns benefits to 2 organizations
I20161104000694 WA Practitioner - Physician Assistant 3173786076 Reassigns benefits to 3 organizations
I20241206000593 ME Practitioner - Physician Assistant 3173786076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Colorado School of Medicine, Aurora, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

Hospital & facility affiliations

  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19923CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington Multi-Specialty CurrentSince Jun 22, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 24, 2019 Accepting new patients
Good Shepherd Health Care System Multi-Specialty CurrentSince Jan 7, 2024 Accepting new patients
Providence Health & Services-Washington Multi-Specialty CurrentSince Jun 22, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients
Multicare Health System CurrentSince Dec 24, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Oct 1, 2020 Accepting new patients
Indigo Services, PLC Multi-Specialty Past Accepting new patients

Locations

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Interoperability endpoints

  • Direct secure messaging: sghysels1487338@direct.lhs.org
  • Direct secure messaging: swaterman751635@wm.providencedirect.org
  • Direct secure messaging: sghysels265983@samhealth.direct-ci.com

Organizations & group practices 11

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1548410616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319027",
            "telephone_number": "360-827-8811",
            "fax_number": "360-330-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319027",
            "telephone_number": "360-827-8811",
            "fax_number": "360-330-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHYSELS",
        "first_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60694076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.