Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821049248 Individual Practitioner Female Practitioner

Suzann Marie Kruse , PA-C

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Suzann Kruse, PA-C is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 7105 NE 40TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7105 Ne 40th St

Vancouver, WA 986613058

Telephone 3609933000
Associated Practice Facility / Clinic
🏢 Cowlitz Indian Tribe Facility NPI 1538412630

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003913

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OR PA01040

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500606247 (OR)
Commercial Insurance / Payer ID Medicare Railroad
00834466 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Reece Lindley

Counselor - Mental Health

NPI 1003309485
Kayla-Ann Hawley , LICSW, SUDP

Social Worker - Clinical

NPI 1003326190

Licensed Independent Clinical Social Worker, SUDP

Yoselyne Manrero

Counselor - Mental Health

NPI 1003408030
Alyse Wright

Counselor - Mental Health

NPI 1003471483
Theresa Harwood

Peer Specialist

NPI 1003514357
NPI 1003694126

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 06, 2025

Registered at 7105 NE 40TH ST, VANCOUVER, WA 986613058 (Tel: 3609933000)

NPI Profile Active April 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

📍
Updated Business Mailing Address April 12, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

👤
Provider Name / Credentials Updated April 12, 2013

Recorded as SUZANN KRUSE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2013

Physician Assistant (License #PA01040 in OR)

🟢
Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821049248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: May 06, 2025
Sole Proprietor: No

Mailing Address

1501 Ne Medical Center Dr

Bend, OR 977016051

Phone: 5413822811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.