Susan Marcille Abrahamsen, APRN
Individual provider Active NPI Family Nurse Practitioner · El Reno, OK
NPI 1902016298 · NPPES record last updated Apr 24, 2017
Key facts
- NPI
- 1902016298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 116240 (OK)
- Practice address
- 2115 Parkview Dr
El Reno, OK 73036-2109 - Phone
- (405) 295-1064
- Fax
- (405) 422-2523
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9555
Hospital & facility affiliations
- Owensboro Health Twin Lakes Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, OK, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000181 | AR | Practitioner - Nurse Practitioner | 8527153709 | Reassigns benefits to 1 organization |
| I20150427000767 | OK | Practitioner - Nurse Practitioner | 8527153709 | Reassigns benefits to 1 organization |
| I20240415003736 | KY | Practitioner - Nurse Practitioner | 8527153709 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116240 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Family | Current |
Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Mercy Hospital Watonga Inc | Current |
Accepting new patients | |
| Owensboro Health Medical Group Inc | Family | Current |
Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
801 W River St
Ozark, AR 72949
Phone (479) 667-4138
500 E Academy St
Paris, AR 72855
Phone (479) 963-6101
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233
Interoperability endpoints
- sabrahamsen704847@directa.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 116240 | OK | Yes |
Addresses
Primary practice location
2115 Parkview Dr
El Reno, OK 73036-2109
Mailing address
2115 Parkview Dr
El Reno, OK 73036-2109
Phone (405) 295-1064
Other providers in El Reno, OK
- Carla Kay Ainsworth
- Elizabeth Alesch
- Addyson 13 Alexander
- Bonita Kay Ankney
- Antony D. Anderson, M.D., PLLC
All providers in El Reno, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.