Active NPI
Susanna Joy Little Elk, APRN, CNP
- Family Nurse Practitioner
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9338
- Practice address
- 1705 Anne St NW
Bemidji, MN 56601-6151 - Phone
- (218) 333-5000
- NPI assigned
- Jun 28, 2022
- Last updated
- Jan 14, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9338 | MN | |
| Nurse Practitioner | 363L00000X | 116553 | NE | |
| Family Nurse Practitioner | 363LF0000X | 116553 | NE | |
| Family Nurse Practitioner | 363LF0000X | 9338 | MN | Primary |
Addresses
Primary practice location
1705 Anne St NW
Bemidji, MN 56601-6151
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
2602 J St
Omaha, NE 68107-1643
Phone (402) 733-3612
Other practice location 2
400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other names 1
- Susanna Joy Rairdon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- 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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
1705 Anne St NW
Bemidji, MN 56601-6151
Phone (218) 333-5000
2602 J St
Omaha, NE 68107-1643
Phone (402) 738-3158
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9338 | MN | MD | Physical Therapist |
| 116553 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Ponca Tribe of Nebraska | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Essentia Health Virginia LLC | Past | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1705 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2035
1413 Highway 33 S
Cloquet, MN 55720
Phone (218) 337-4000
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
2602 J St
Omaha, NE 68107
Phone (402) 733-3612
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba Fred LeRoy Health & Wellness Center
- Clinic/Center
- Omaha, NE
- NPI 1710172879
TX
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
dba Essentia Health West Duluth Clinic
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1669410221
-
dba Essentia Health Virginia Hospital Pharmacy
- Long Term Care Pharmacy
- Virginia, MN
- NPI 1740293489
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1790417814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566016151",
"telephone_number": "218-333-5000"
}
],
"practiceLocations": [
{
"address_1": "2602 J St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681071643",
"country_code": "US",
"telephone_number": "402-733-3612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E 3rd St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051951",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE ELK",
"first_name": "SUSANNA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "9338",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "116553",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "116553",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "9338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSANNA",
"last_name": "RAIRDON",
"middle_name": "JOY",
"credential": "APRN, CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.