Active NPI
Susan Sheldon Olive, PA
- Medical Physician Assistant
- Houghton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 031795
- Practice address
- 9864 Luckey Dr
Houghton, NY 14744-8706 - Phone
- (716) 375-7500
- NPI assigned
- Dec 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 031795 | NY | Primary |
Addresses
Primary practice location
9864 Luckey Dr
Houghton, NY 14744-8706
Mailing address
9864 Luckey Dr
Houghton, NY 14744-8706
Phone (716) 375-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NY
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 W Main St
Suite 1
Cuba, NY 14727-1317
Phone 71637575006879
9864 Luckey Dr
Houghton, NY 14744-8706
Phone 71637575006879
Hospital & facility affiliations
- Willcare Chha (Buffalo)
- Vna of Western Ny Chha
- Olean General Hospital
- Jones Memorial Hospital
- Wyoming County
- Cuba Memorial Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Tier Community Health Center Network, Inc. | Current | Accepting new patients | |
| Southern Tier Community Health Center Network, Inc. | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients |
Locations
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
1775 Hopewell St
Santa Fe, NM 87505
Phone (505) 443-3100
140 W Main St
#1
Cuba, NY 14727
132 W Main St
Cuba, NY 14727
9864 Luckey Dr
Houghton, NY 14744
135 N Union St
Olean, NY 14760
500 Main St
Olean, NY 14760
Phone (716) 373-2600
Interoperability endpoints
- susan.olive@sthc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Olean, NY
- NPI 1184654477
-
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
-
- Dental Clinic/Center
- Bradford, PA
- NPI 1962399394
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cuba, NY
- NPI 1407839822
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
-
- Home Health Agency
- Amherst, NY
- NPI 1710036298
-
- Rural Acute Care Hospital
- Warsaw, NY
- NPI 1316924913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1487291464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9864 LUCKEY DR",
"city": "HOUGHTON",
"state": "NY",
"postal_code": "147448706",
"telephone_number": "716-375-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9864 LUCKEY DR",
"city": "HOUGHTON",
"state": "NY",
"postal_code": "147448706",
"telephone_number": "716-375-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVE",
"first_name": "SUSAN",
"middle_name": "SHELDON",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "031795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houghton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.