NPIMap

Individual provider Active NPI

Susan E. Dougherty, NP-CNM

  • Advanced Practice Midwife
  • Olean, NY
National Provider Identifier
1295708774
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000461 Issued in NY
Practice address
535 Main St
Olean, NY 14760-1500
Phone
(716) 372-0141
Fax
(716) 372-6421
NPI assigned
Feb 7, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420192 NY
Advanced Practice Midwife 367A00000X F000461 NY Primary

Addresses

Primary practice location

535 Main St
Olean, NY 14760-1500

Mailing address

535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141

Other identifiers 1

IdentifierTypeStateIssuer
01436364MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040504000551 NY Practitioner - Nurse Practitioner 7719975226 Reassigns benefits to 2 organizations
I20040731000205 NY Practitioner - Certified Nurse Midwife (CNM) 7719975226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean Medical Practice PLLCGroup PAC ID 0042698045, 56 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

14 Ctr St
Cuba, NY 14727-1002
Phone (585) 986-3210

535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000461NYMDMarriage & Family Therapist
F420192NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jun 1, 2022 Accepting new patients
General Physician, PC CurrentSince Jun 1, 2022 Accepting new patients
Olean Medical Practice PLLC Current Accepting new patients
County of Allegany CurrentSince Sep 6, 2018 Accepting new patients
County of Allegany PastSince Sep 6, 2018 Accepting new patients
Southern Tier Community Health Center Network, Inc. Past Accepting new patients
Olean General Hospital Past Accepting new patients

Locations

7 Court St
Rm 331
Belmont, NY 14813
Phone (585) 268-9250

14 Center St
Cuba, NY 14727
Phone (585) 968-3210

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6edd93a1-7391-4938-bcd9-ebe248fd573e/

Organizations & group practices 8

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

Hospital & facility affiliations 8

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1295708774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141",
            "fax_number": "716-372-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141",
            "fax_number": "716-372-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "NP-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420192",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01436364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.