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

Susan Puckett, PA

Individual provider Medical Physician Assistant · NPI 1972588358

Susan Puckett, PA is a Physician Assistant in Boulder, Colorado. Qualified in 1992, 34 years ago. Practices with Boulder Medical Center, PC, a 86-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
34
Licensed in
CO
In the registry since
2005
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

2750 Broadway St
Boulder, CO 80304-3573
Phone: (303) 440-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 954 (CO)

Record details

NPI number1972588358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESJuly 13, 2026
Certification dateApril 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Boulder Medical Center, Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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