Active NPI
Susan Marcille Abrahamsen, APRN
- Family Nurse Practitioner
- El Reno, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 116240
- Practice address
- 2115 Parkview Dr
El Reno, OK 73036-2109 - Phone
- (405) 295-1064
- Fax
- (405) 422-2523
- NPI assigned
- May 23, 2007
- Last updated
- Apr 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 116240 | OK | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arkansas College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Family | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc. | Family | Current | Accepting new patients |
| Mercy Hospital Watonga Inc | 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
Organizations & group practices 6
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 Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Mercy Hospital Watonga
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
Family
-
dba OHTLMC Hospitalists
- Internal Medicine Physician
- Leitchfield, KY
- NPI 1487392510
Family
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1902016298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 PARKVIEW DR",
"city": "EL RENO",
"state": "OK",
"postal_code": "730362109",
"telephone_number": "405-295-1064",
"fax_number": "405-422-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 PARKVIEW DR",
"city": "EL RENO",
"state": "OK",
"postal_code": "730362109",
"telephone_number": "405-295-1064",
"fax_number": "405-422-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMSEN",
"first_name": "SUSAN",
"middle_name": "MARCILLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "116240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.