Susan Benton Suleske, PA-C
Individual provider Active NPI Physician Assistant · Madison, VA
NPI 1982928735 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1982928735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110-003217 (VA)
- Practice address
- 2503 S Seminole TRL
Madison, VA 22727-2690 - Phone
- (540) 948-6871
- Fax
- (540) 948-6601
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Privia Medical Group, LLC
Practice addresses (Care Compare)
15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
- Livinrite Home Health Services
- Sentara Martha Jefferson Hospital
- Uva Health Culpeper Medical Center
- University of Virginia Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170818001731 | VA | Practitioner - Physician Assistant | 3173821626 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-003217 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Ridgeline Physician Services, LLC | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557
15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281
2503 S Seminole Trl
Madison, VA 22727
Phone (540) 672-3010
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- susan.suleske.3@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-003217 | VA | Yes |
Addresses
Primary practice location
2503 S Seminole TRL
Madison, VA 22727-2690
Mailing address
PO Box 21975
Belfast, ME 04915-4116
Phone (540) 321-4281
Other practice location 1
541 Sunset Ln Ste 301
Culpeper, VA 22701-3979
Phone (540) 825-4557
Other practice location 2
15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982928735 | Medicaid | VA | |
| VVP063A | Other | VA | MEDICARE |
Other names
- Susan B Jefferies
Other providers in Madison, VA
- Tanya Shetler
- Roma Marisa Shickel
- Hunter Fitz-Hugh Smith
- James Crigler Smith III
- Jaunita Montgomery Smith
- The Nest Birth House LLC
- Michelle T. Tran
- Andrea Denise Tribastone
- Fannie F. Utz
- Oscar G. Vega
All providers in Madison, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.