MS. SUSANNAH REAY ELTON (PA-C) – Physician Assistant, NPI 1063452811

MS. SUSANNAH REAY ELTON (PA-C) is a healthcare provider. based in Highland, California. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA17116 (CA). The NPI Number for MS. SUSANNAH REAY ELTON (PA-C) is 1063452811

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSANNAH REAY ELTON (PA-C)
NPI
1063452811
Phone
(909) 862-1191
Address
7000 Boulder Ave
Enumeration Date
8 June 2006
Last Update Date
20 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093891302
Graduation Year
2003 (23 years ago)
PAC ID
2567424922
Group Practice PAC ID
0547164295
Professional Enrollment ID
I20041028000973
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. SUSANNAH REAY ELTON (PA-C)

  • 7000 Boulder Ave

    Highland, CA 923463348

    Phone: (909) 862-1191

    Type: Location

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

  • Highland Springs Avenue, Beaumont, Riverside County, California, United States

    BEAUMONT, CA 922233170

    Phone: (951) 845-0313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041028000973IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10397$0
81003Automated urinalysis test3332$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1414$0
View full utilization report →

Insurance plans in this area (ZIP 92346)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547164295View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MS. SUSANNAH REAY ELTON (PA-C)?
NPI 1063452811 is assigned to MS. SUSANNAH REAY ELTON (PA-C) under the national enumeration system.
Is MS. SUSANNAH REAY ELTON (PA-C) active in the national directory?
MS. SUSANNAH REAY ELTON (PA-C)'s public NPI profile is in an active state.
What does MS. SUSANNAH REAY ELTON (PA-C) treat or focus on?
Patients typically see MS. SUSANNAH REAY ELTON (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. SUSANNAH REAY ELTON (PA-C)?
The page summarizes Highland, California for MS. SUSANNAH REAY ELTON (PA-C); expand the address list for detail.
Is MS. SUSANNAH REAY ELTON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1063452811. Always confirm identity and privileges with the practice and licensing boards.

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