MRS. SUSAN LYNN OGOE (PA-C) – Physician Assistant, NPI 1316034085

MRS. SUSAN LYNN OGOE (PA-C) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004722 (MI). The NPI Number for MRS. SUSAN LYNN OGOE (PA-C) is 1316034085

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN LYNN OGOE (PA-C)
NPI
1316034085
Phone
(313) 499-4525
Address
3990 John R St
Enumeration Date
6 October 2006
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
6204921281
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20071005000272
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

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. SUSAN LYNN OGOE (PA-C)

  • 3990 John R St

    2-Hudson, Room 2923

    Detroit, MI 482012018

    Phone: (313) 499-4525

    Type: Location

  • Harper University Hospital, 3990, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    2-HUDSON, ROOM 2923

    DETROIT, MI 482012018

    Phone: (313) 499-4525

    Type: Location

  • 25455, Hanover Street, Dearborn Heights, Wayne County, Michigan, 48125, United States

    DEARBORN HEIGHTS, MI 481251730

    Phone: (419) 344-4939

    Type: Mailing

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    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: 2007-10-05

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
I20071005000272IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

How do payers reference MRS. SUSAN LYNN OGOE (PA-C)?
For MRS. SUSAN LYNN OGOE (PA-C), use NPI 1316034085 as the unique 10-digit identifier.
Would MRS. SUSAN LYNN OGOE (PA-C) appear as active to a payer?
You can treat MRS. SUSAN LYNN OGOE (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. SUSAN LYNN OGOE (PA-C)'s focus?
For MRS. SUSAN LYNN OGOE (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. SUSAN LYNN OGOE (PA-C) associated with Detroit?
Public fields place MRS. SUSAN LYNN OGOE (PA-C) around Detroit, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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