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DR. SUSAN KRISTA RUTTEN WASSON M.D.
NPI 1417920190
Pediatrics in Osakis, MN

Active since February 10, 2006Opted out of Medicare · through Dec 19, 2027CLIA 24D1001112 · Microscopy
200 W. NOKOMIS ST., OSAKIS, MN 56360(320) 859-2366(320) 859-5234 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Krista Rutten Wasson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN KRISTA RUTTEN WASSON M.D. (NPI 1417920190) is an individual pediatrics provider in Osakis, Minnesota, licensed in Minnesota (42061) and active in the NPI registry since February 2006. She has opted out of Medicare through December 19, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through June 30, 2028.

NPPES Registry Identity

NPI1417920190
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN KRISTA RUTTEN WASSONCredential: M.D.
Location Address200 W. NOKOMIS ST.Osakis, MN 56360-8294
Mailing Address200 W. Nokomis St.Osakis, MN 56360-8294 · (320) 859-2366 · Fax (320) 859-5234
Phone(320) 859-2366
Fax(320) 859-5234
Sole ProprietorYes
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1417920190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 42061
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
200 W. NOKOMIS ST., Osakis, MN 56360
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Other Names 1

Former Name (1)Dr. Susan Krista Rutten

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan Krista Rutten Wasson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2013 through December 19, 2027.

Opt-Out Effective DateDecember 19, 2013
Opt-Out In Effect ThroughDecember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D1001112

Susan Rutten MD · Osakis, MN
Active · expires Jun 30, 2028
CLIA Number24D1001112
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorSusan K. Rutten MD
Laboratory Phone(320) 859-2366
Laboratory LocationSusan Rutten MD200 W Nokomis Steet, Osakis, MN 56360
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Rutten Wasson's NPI number?

The NPI number for Susan Rutten Wasson is 1417920190. It was assigned to this individual provider in the NPPES registry on February 10, 2006. The provider is also known as Dr. Susan Krista Rutten.

Where is Susan Rutten Wasson located?

Susan Rutten Wasson practices at 200 W. Nokomis St., Osakis, MN 56360. The listed phone number is (320) 859-2366.

What is Susan Rutten Wasson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Rutten Wasson enrolled in Medicare?

No. Susan Rutten Wasson has opted out of Medicare through December 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Susan Rutten Wasson hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D1001112) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan Rutten Wasson was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.