Individual provider Active NPI

Susan Kay Olson, CNP/PAC

  • Nurse Practitioner
  • Huron, SD
National Provider Identifier
1295738789
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000049 Issued in SD
Practice address
455 Kansas Ave SE
Huron, SD 57350-2522
Phone
(605) 352-8767
Fax
(605) 352-8784
NPI assigned
May 27, 2005
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0625 SD
Nurse Practitioner 363L00000X CP000049 SD Primary

Addresses

Primary practice location

455 Kansas Ave SE
Huron, SD 57350-2522

Mailing address

PO Box 1411
Huron, SD 57350-1411
Phone (605) 352-8767

Other identifiers 4

IdentifierTypeStateIssuer
9237905OtherSDDAKOTACARE
P00331087OtherSDRAILROAD MEDICARE
4994028OtherSDWELLMARK
6821605MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 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
I20060503000353 SD Practitioner - Nurse Practitioner 6305856428 Reassigns benefits to 5 organizations
I20200110001585 SD Practitioner - Physician Assistant 6305856428 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

1900 Grassland Dr
Mitchell, SD 57301-6386
Phone (605) 995-7000

609 Garfield Ave
Murdo, SD 57559-4100
Phone (605) 669-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0625SDMDPhysician Assistant
CP000049SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Physician Assistant Current Accepting new patients
Avera Queen of Peace CurrentSince Dec 10, 2015 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera McKennan CurrentSince Oct 1, 2025 Accepting new patients
Avera Queen of Peace CurrentSince Dec 10, 2015 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Sanford Health Network CurrentSince Dec 19, 2015 Accepting new patients
City of Sioux Falls CurrentSince Feb 6, 2016 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Avera Queen of Peace CurrentSince May 1, 2020 Accepting new patients
Sanford Health Network CurrentSince Dec 19, 2015 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Avera McKennan CurrentSince Jun 12, 2023 Accepting new patients
City of Sioux Falls CurrentSince Feb 6, 2016 Accepting new patients
City of Sioux Falls Current Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Past Accepting new patients
Maine Urgent Care, LLC Past Accepting new patients
Women's Wellness Center, Prof. L.L.C. Past Accepting new patients
Rural Health Care, Inc. Past Accepting new patients

Locations

2040 Juniper Ave
Slayton, MN 56172
Phone (507) 836-6153

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

455 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8767

534 Oregon Ave SE
Huron, SD 57350
Phone (605) 353-7660

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susan.olson@avera.sdhealthlink.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1295738789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1411",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573501411",
            "telephone_number": "605-352-8767",
            "fax_number": "605-352-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502522",
            "telephone_number": "605-352-8767",
            "fax_number": "605-352-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CNP/PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0625",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9237905",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331087",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4994028",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6821605",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.