SUSAN ELIZABETH KORSON (PA) – Physician Assistant, NPI 1417456161
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for SUSAN ELIZABETH KORSON (PA)
11400 E SEND RD
SUTTONS BAY, MI 496829717
Phone: (231) 357-3513
Fax: (231) 346-6096
Type: Mailing
4100 Park Forest Dr Ste 208
Traverse City, MI 496847306
Phone: (231) 935-5710
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5800
Fax: (231) 346-6096
Type: Location
Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842345
Phone: (231) 935-5800
Fax: (231) 346-6096
Type: Location
7421 E MEADOWS DR
CEDAR, MI 496219796
Phone: (231) 357-3513
Type: Mailing
4100 PARK FOREST DR STE 208
TRAVERSE CITY, MI 496847306
Phone: (231) 935-5710
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone: (231) 935-5000
Fax: (231) 935-5588
Type: Mailing
3922 CEDAR RUN RD
TRAVERSE CITY, MI 496849687
Phone: (231) 392-0430
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $469.
Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Neurelis, Inc. ($244).
Total Amount
$469
General + Research + Ownership
Payments
10
Total payment records
General Amount
$469
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurelis, Inc. | $244 |
| ABBVIE INC. | $207 |
| Otsuka America Pharmaceutical, Inc. | $19 |
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: 2018-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180423001118 | I | Physician Assistant | MI | TBD |
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.
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 49682)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
Reviews
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