SUSAN M ANDERSEN MD
NPI 1831415694
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since April 19, 2010PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 575-1616(605) 367-7157 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan M Andersen Md NPPES

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

SUSAN M ANDERSEN MD (NPI 1831415694) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Ortonville Area Health Services, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2013).

NPPES Registry Identity

NPI1831415694
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSAN M ANDERSENCredential: MD
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 575-1616 · Fax (605) 367-7157
Fax(605) 367-7157
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2013
Enumeration DateApril 19, 2010
NPI 1831415694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 E 20TH ST, Sioux Falls, SD 57105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan M Andersen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244467678
PECOS Enrollment IDI20131211000013, I20140121000992
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ortonville Area Health Services

Critical Access Hospitals · Ortonville, MN
OwnershipGovernment - Local
CMS Certification Number241342
Location450 Eastvold AveOrtonville, MN 56278 · Big Stone County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431326
Location301 Flynn DriveMilbank, SD 57252 · Grant County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.53
Promoting Interoperability99
Improvement Activities40
Cost41.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers47 claims66 services$5.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$114.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105

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 Andersen's NPI number?

The NPI number for Susan Andersen is 1831415694. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Susan Andersen located?

Susan Andersen practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 575-1616.

What is Susan Andersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Susan Andersen enrolled in Medicare?

Yes. Susan Andersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Andersen accept?

Health plans from Medica and Sanford Health Plan list Susan Andersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Andersen affiliated with any hospitals?

According to CMS data, Susan Andersen is affiliated with Ortonville Area Health Services, Sanford Usd Medical Center and Milbank Area Hospital/Avera Health.

When was this NPI record last updated?

The NPPES record for Susan Andersen was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.