Individual provider Active NPI

Susan Me'Chelle Oliver, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleville, KS
National Provider Identifier
1548874159
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903952 Issued in MS
Practice address
1913 M St
Belleville, KS 66935-2238
Phone
(785) 560-3101
Fax
(785) 200-3766
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903952 MS Primary

Addresses

Primary practice location

1913 M St
Belleville, KS 66935-2238

Mailing address

1913 M St
Belleville, KS 66935-2238
Phone (785) 560-3101

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Courser Lapo Inc 11 clinicians

Practice addresses (Care Compare)

1913 M St
Belleville, KS 66935-2238
Phone (785) 527-8271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210524002535 KS Practitioner - Nurse Practitioner 8123427101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903952MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Courser Lapo E LLC Psychiatric/Mental Health PastSince Jul 21, 2024 Accepting new patients
Courser Lapo Inc Past Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1548874159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352238",
            "telephone_number": "785-560-3101",
            "fax_number": "785-200-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 M ST",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352238",
            "telephone_number": "785-560-3101",
            "fax_number": "785-200-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SUSAN",
        "middle_name": "ME'CHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, KS

Sources for this page

Verify at the official NPI Registry.