NPIMap

Susan L Zaic, CNP-BC

Individual provider Active NPI Nurse Practitioner · Benson, MN

NPI 1912498486 · NPPES record last updated May 21, 2018

Key facts

NPI
1912498486
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
2004004675 (MN)
Practice address
1810 McKinney Ave
Benson, MN 56215-1638
Phone
(320) 843-2030
Fax
(320) 843-4172
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center Inc (72 clinicians)

Practice addresses (Care Compare)

501 Poler St
Starbuck, MN 56381-2456
Phone (320) 239-3939

Hospital & facility affiliations

  • Stevens Community Medical Center Inc Hospital · Morris, MN · CCN 241363
  • Alomere Health Hospital · Alexandria, MN · CCN 240030
  • Glacial Ridge Hospital Hospital · Glenwood, MN · CCN 241376

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100 (group)
Quality
82.21
Promoting interoperability
83
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190313002463 MN Practitioner - Nurse Practitioner 6709893134 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2004004675MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swift County-Benson Hospital Current Accepting new patients
Stevens Community Medical Center Inc Current
since Jan 6, 2026		 Accepting new patients
Swift County Benson Hospital Current
since Aug 1, 2020		 Accepting new patients
Stevens Community Medical Center Inc Current
since Feb 1, 2024		 Accepting new patients
Swift County Benson Hospital Current
since Aug 1, 2020		 Accepting new patients
Stevens Community Medical Center Inc Current
since Feb 1, 2024		 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

1810 McKinney Ave
Benson, MN 56215
Phone (320) 843-2030

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

Interoperability endpoints

  • Direct secure messaging: szaic459458@direct.centracare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2004004675 MN Yes

Addresses

Primary practice location

1810 McKinney Ave
Benson, MN 56215-1638

Mailing address

1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-4232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 21, 2018.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1912498486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 WISCONSIN AVE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151653",
            "telephone_number": "320-843-4232",
            "fax_number": "320-843-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MCKINNEY AVE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151638",
            "telephone_number": "320-843-2030",
            "fax_number": "320-843-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIC",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "2004004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, MN

All providers in Benson, MN · Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.