Active NPI
Susan Olsen, MD
- Internal Medicine Physician
- Barre, VT
National Provider Identifier
1679615959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0420006655
- Practice address
- 244 Granger Rd
Barre, VT 05641-5367 - Phone
- (802) 225-3942
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14947 | NE | |
| Internal Medicine Physician | 207R00000X | 0420006655 | VT | Primary |
Addresses
Primary practice location
244 Granger Rd
Barre, VT 05641-5367
Mailing address
PO Box 547
Barre, VT 05641-0547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009180 | Medicaid | VT |
Other names 1
- Susan Higgins Olsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14947 | NE | MD | Pharmacist |
| 0420006655 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Internal Medicine | Past | Accepting new patients |
Locations
195 Industrial Pkwy
Lyndonville, VT 05851
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
-
- Specialist
- St Johnsbury, VT
- NPI 1760773774
-
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1679615959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 GRANGER RD",
"city": "BARRE",
"state": "VT",
"postal_code": "056415367",
"telephone_number": "802-225-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "14947",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "0420006655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009180",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "HIGGINS OLSEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.