Susan Renae Morris, PAC/CNP

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0246 Issued in SD

Practice address

113 Comanche Road
Fort Meade, SD 57741-1002

Phone

(605) 347-2511

Fax

(605) 720-7219

NPI assigned

May 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811955206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 COUNTRY CLUB ROAD",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577170693",
            "telephone_number": "605-892-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE ROAD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511",
            "fax_number": "605-720-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SUSAN",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "PAC/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Lee Monahan, RN
• Sandra Monger
• Amber Lynne Morgan Winter, RN
• Elizabeth Anne Morin
• Jacquelyn Morris, CSW-PIP
• Drew Moss, MD
• Amanda Munroe
• Christopher Shawn Murphy
• Mark Myers
• John Eric Myskiw, PHYSICIAN ASSISTANT

• Physician Assistant in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.