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

Shawn A Susser, PA

Individual provider Physician Assistant · NPI 1164559142

Shawn A Susser, PA is a Physician Assistant in Lone Tree, Colorado. Qualified in 1997, 29 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
29
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10400 E Alameda Ave, Denver, CO 80247-5104 — (303) 338-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 993 (CO)

Record details

NPI number1164559142
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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