Active NPI
Susan Thurston, PA
- Physician Assistant
- Titusville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2469
- Practice address
- 1855 Knox McRae Dr
Titusville, FL 32780-5492 - Phone
- (321) 269-2028
- Fax
- (321) 264-0730
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2469 | FL | Primary |
Addresses
Primary practice location
1855 Knox McRae Dr
Titusville, FL 32780-5492
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Hospital & facility affiliations
- Parrish Medical Center
- Cape Canaveral Hospital
- Holmes Regional Medical Center
- Viera Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2469 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
7227 N US Highway 1
Ste 100
Port St John, FL 32927
Phone (321) 269-2028
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
1855 Knox McRae Dr
Titusville, FL 32780
Phone (321) 269-2028
Interoperability endpoints
- sthurston28944@epicdirect.hf.org
Organizations & group practices 2
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.
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1982736120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 KNOX MCRAE DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805492",
"telephone_number": "321-269-2028",
"fax_number": "321-264-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA2469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
- Mary Evelyn Thornton, MS, CCC-SLP
- Michelle Marie Thornton, M. ED
- Rene Thornton, M.S., CCC-SLP
- Brysen Thorpe, DC
- Jennifer Thurm
- Olena Timofeyeva, MS, SLP-CCC
- Tiny Voices LLC
- Titusville Center for Surgical Excellence LLC
- Titusville Chiropractic & Injury Center, Inc.
- Titusville Fire and Emergency Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.