Active NPI
Susan Kay Olson, CNP/PAC
- Nurse Practitioner
- Huron, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CP000049
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9237905 | Other | SD | DAKOTACARE |
| P00331087 | Other | SD | RAILROAD MEDICARE |
| 4994028 | Other | SD | WELLMARK |
| 6821605 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0625 | SD | MD | Physician Assistant |
| CP000049 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Physician Assistant | Current | Accepting new patients |
| Avera Queen of Peace | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Avera Queen of Peace | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| City of Sioux Falls | Current | 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
- https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
- 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.
-
dba Access Health - Murdo
- Federally Qualified Health Center (FQHC)
- Murdo, SD
- NPI 1720076441
-
dba AMG Hospitalists Mitchell
- Hospitalist Physician
- Mitchell, SD
- NPI 1205359031
-
dba Falls Community Health
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1932295888
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Sanford Care Center Vermillion
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
dba Avera Medical Group Occupational Medicine
- Specialist
- Mitchell, SD
- NPI 1053548982
-
dba Avera Weskota Memorial Medical Center
- Critical Access Hospital
- Wessington Springs, SD
- NPI 1316942204
-
dba Avera Medical Group Ophthalmology Mitchell
- Ophthalmology Physician
- Mitchell, SD
- NPI 1528340494
-
dba FCH School Based Health Services/Hayward
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1508103243
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Queen of Peace Hospital
- Critical Access Hospital
- Mitchell, SD
- NPI 1992466635
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
-
- Home Health Agency
- Huron, SD
- NPI 1457471757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.