JESSE JOHN SUSA MD NPI 1477901395

NPI Information

  • NPI: 1477901395
  • Provider Name: JESSE JOHN SUSA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 610 W ADAMS ST
    BLACK RIVER FALLS, WI
    ZIP 54615
  • Phone: (715) 284-1867

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NPI Details

Jesse John Susa, MD is a family medicine in Black River Falls, WI with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jesse John Susa, MD NPI is 1477901395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

610 W ADAMS ST
BLACK RIVER FALLS, WI
ZIP 54615
Phone: (715) 284-1867

The NPI 1477901395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood creatinine level (HCPCS:82565)
  • Blood potassium level (HCPCS:84132)
  • Blood sodium level (HCPCS:84295)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Blood test, clotting time (HCPCS:85610)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Phosphatase (enzyme) level, alkaline (HCPCS:84075)
  • Bilirubin level, total (HCPCS:82247)
  • Albumin (protein) level (HCPCS:82040)
  • Hepatitis c antibody screening, for individual at high risk and other covered indication(s) (HCPCS:G0472)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Bacterial urine culture (HCPCS:87088)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87184)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Calcium level, total (HCPCS:82310)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine69790-20WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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