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SUSAN R JOHANNSEN CNP
NPI 1720080583
Nurse Practitioner - Gerontology in Sioux Falls, SD

Active since August 11, 2005PECOS Enrolled
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 336-2140(605) 336-1677 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2015, Nov 9, 2015 (2 updates tracked since 2015).

About Susan R Johannsen Cnp NPPES

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

SUSAN R JOHANNSEN CNP (NPI 1720080583) is an individual gerontology provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000110) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720080583
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN R JOHANNSENCredential: CNP
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Phone(605) 336-2140
Fax(605) 336-1677
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateDecember 29, 20152 updates tracked since enumeration
✔ NPI 1720080583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in SD · CP000110
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0221 (SD)
1200 S 7TH AVE, Sioux Falls, SD 57105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan R Johannsen Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGG HARVISON M.D.
Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
PATRICK MCGREEVY M.D.
Surgery
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
DARREL JOHNSON PA-C
Physician Assistant (Medical)
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
KAREN HEILING M.D.
Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
MICHAEL ELLIOTT M.D.
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
AVERA MCKENNAN
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 782-8307
GILBERT ENGLISH M.D.
Obstetrics & Gynecology
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
ROBERT WENGER M.D.
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140

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 Johannsen's NPI number?

The NPI number for Susan Johannsen is 1720080583. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Susan Johannsen located?

Susan Johannsen practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is Susan Johannsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Susan Johannsen enrolled in Medicare?

Yes. Susan Johannsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Johannsen was last updated on December 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.