Individual provider Active NPI

Susan Marcille Abrahamsen, APRN

  • Family Nurse Practitioner
  • El Reno, OK
National Provider Identifier
1902016298
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116240 Issued in OK
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

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

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 28, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. Family CurrentSince Mar 28, 2024 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Jan 21, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 16, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 16, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.