Individual provider Active NPI

Susan Olson, CNP

  • Family Nurse Practitioner
  • Watertown, SD
National Provider Identifier
1124913223
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003705 Issued in SD
Practice address
506 1St Ave SE
Watertown, SD 57201-4402
Phone
(605) 886-8482
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1972904 MN
Registered Nurse 163W00000X R060447 SD
Family Nurse Practitioner 363LF0000X 12986 MN
Family Nurse Practitioner 363LF0000X CP003705 SD Primary

Addresses

Primary practice location

506 1St Ave SE
Watertown, SD 57201-4402

Mailing address

PO Box 1210
Watertown, SD 57201-6210
Phone (605) 882-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250717002033 SD Practitioner - Nurse Practitioner 8022523000 Reassigns benefits to 1 organization
I20251224000196 MN Practitioner - Nurse Practitioner 8022523000 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health LLCGroup PAC ID 7012274228, 40 clinicians
Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

506 1St Ave SE
Watertown, SD 57201-4402
Phone (605) 886-8482

Hospital & facility affiliations

  • Centracare- Rice Memorial Hospital Hospital, Willmar, MN, CCN 240088
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1972904MNMDRegistered Nurse
R060447SDMDRegistered Nurse
12986MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC CurrentSince Dec 1, 2025 Accepting new patients
Prairie Lakes Health Care System Inc Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Dec 1, 2025 Accepting new patients
Swift County Benson Hospital Current Accepting new patients
Centracare Health - Benson LLC CurrentSince Dec 1, 2025 Accepting new patients
Minnesota Pathologists Chartered Current Accepting new patients
Centracare Health - Benson LLC CurrentSince Dec 1, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Jul 14, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Jul 14, 2025 Accepting new patients
Carris Health - Redwood LLC CurrentSince Dec 1, 2025 Accepting new patients
Carris Health LLC CurrentSince Dec 1, 2025 Accepting new patients
Carris Health - Redwood LLC CurrentSince Dec 1, 2025 Accepting new patients
Redwood Area Hospital Current Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

506 1st Ave SE
Watertown, SD 57201
Phone (605) 884-4247

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1124913223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016210",
            "telephone_number": "605-882-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SUSAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1972904",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R060447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.