Individual provider Active NPI

Susanna Marie Storeng, PA-C

  • Physician Assistant
  • Alma, MI
National Provider Identifier
1912980533
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004207 Issued in MI
Practice address
321 E Warwick Dr
Alma, MI 48801-1013
Phone
(989) 466-3332
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 5601004207 MI Primary
Physician Assistant 363A00000X 2251 CO

Addresses

Primary practice location

321 E Warwick Dr
Alma, MI 48801-1013

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

419 W Wackerly St
Midland, MI 48640-2739
Phone (989) 631-9515

Other identifiers 1

IdentifierTypeStateIssuer
1061063OtherNCCPA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130607000681 MI Practitioner - Physician Assistant 7719943364 Reassigns benefits to 5 organizations
I20170922002619 CO Practitioner - Physician Assistant 7719943364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2251COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince May 1, 2023 Accepting new patients
McLaren Central Michigan CurrentSince May 1, 2023 Accepting new patients
High Plains Community Health Center Incorporated CurrentSince Jul 6, 2016 Accepting new patients
S. W. Haag, P.C. Past Accepting new patients
S. W. Haag, P.C. Past Accepting new patients

Locations

201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261

1201 South Dr
Ste 341
Mt Pleasant, MI 48858
Phone (800) 523-1014

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1912980533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011013",
            "telephone_number": "989-466-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Wackerly St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486402739",
            "country_code": "US",
            "telephone_number": "989-631-9515",
            "fax_number": "989-835-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORENG",
        "first_name": "SUSANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004207",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA NUMBER",
            "identifier": "1061063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.