SUSAN A. BRODEUR (PA-C) – Psychiatry Physician, NPI 1477936847

SUSAN A. BRODEUR (PA-C) is a healthcare provider. based in Essex junction, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 055.0031295 (VT). The NPI Number for SUSAN A. BRODEUR (PA-C) is 1477936847

Main info

Female
11 Years Of Experience
Name
SUSAN A. BRODEUR (PA-C)
NPI
1477936847
Phone
(802) 871-0246
Address
77 WEED RD
Enumeration Date
3 July 2015
Last Update Date
6 July 2024

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
8023168890
Graduation Year
2015 (11 years ago)
PAC ID
7113236597
Professional Enrollment ID
I20160621001944
Address ID
VT054782276SA7XXXXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Provider Addresses for SUSAN A. BRODEUR (PA-C)

  • 77 WEED RD

    ESSEX JUNCTION, VT 054522724

    Phone: (802) 871-0246

    Fax: (802) 332-3117

    Type: Mailing

  • 62 TILLEY DR., #201

    UVM MEDICAL CENTER, ANESETHESIOLOGY/PAIN MEDICINE

    S. BURLINGTON, VT 05403

    Phone: (802) 847-3737

    Fax: (802) 847-2965

    Type: Mailing

  • 37 ELMWOOD AVE

    BURLINGTON, VT 054014347

    Phone: (802) 578-8521

    Fax: (802) 847-2965

    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: 2016-06-21

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
I20160621001944IPhysician AssistantVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8216$0
View full utilization report →

Insurance plans in this area (ZIP 05452)

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Reviews

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Frequently asked questions

Can I cross-check SUSAN A. BRODEUR (PA-C) using NPI 1477936847?
NPI 1477936847 belongs to SUSAN A. BRODEUR (PA-C); compare other details if you need extra assurance.
Is SUSAN A. BRODEUR (PA-C) still an active registrant?
SUSAN A. BRODEUR (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is SUSAN A. BRODEUR (PA-C)?
SUSAN A. BRODEUR (PA-C) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SUSAN A. BRODEUR (PA-C)?
Directory geography for SUSAN A. BRODEUR (PA-C) centers on Essex Junction, Vermont.
When was this NPI issued?
Enumeration for SUSAN A. BRODEUR (PA-C) is noted as July 3, 2015 where the registry provides it.

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