Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse John Susa, MD

Individual provider Family Medicine Physician · NPI 1477901395

Jesse John Susa, MD is a Family Practice in Black River Falls, Wisconsin. Graduated from University of Minnesota Medical School in 2016, 10 years ago. Practices with Black River Health Inc, a 59-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Trained at
University of Minnesota Medical School
Licensed in
WI
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

610 W Adams St
Black River Falls, WI 54615
Phone: (715) 284-1867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 330 N 8th Ave E, Duluth, MN 55805-2024 — (218) 723-1112
  • 711 W Adams St, Black River Falls, WI 54615-5052 — (715) 284-5361

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69790-20 (WI)

Record details

NPI number1477901395
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address610 W Adams St, Black River Falls, WI 54615-9110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Black River Health Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Black River Falls