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

MS. Susan Carlisle, RPA-C

Individual provider Physician Assistant · NPI 1225042443

MS. Susan Carlisle, RPA-C is a Physician Assistant in Ithaca, New York. Qualified in 1995, 31 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

10 Brentwood Dr Ste B
Ithaca, NY 14850-1865
Phone: (607) 266-0073
Fax: (607) 266-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005198-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0000081 (NY)

Record details

NPI number1225042443
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ithaca