SUSAN J OLSEN (APRN FNP-C) – Family Nurse Practitioner, NPI 1508491663

SUSAN J OLSEN (APRN FNP-C) is a healthcare provider. based in Mendota, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN FNP-C. They hold a License No. 209.020994 (IL). The NPI Number for SUSAN J OLSEN (APRN FNP-C) is 1508491663

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN J OLSEN (APRN FNP-C)
NPI
1508491663
Phone
(815) 993-7378
Address
537 N 3850TH RD
Enumeration Date
10 March 2020
Last Update Date
31 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8158752811
Graduation Year
2019 (7 years ago)
PAC ID
8527472661
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20210201000392
Address ID
IL613563901PR530XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,703 NURSE PRACTITIONER in IL

Provider Addresses for SUSAN J OLSEN (APRN FNP-C)

  • 537 N 3850TH RD

    MENDOTA, IL 613429712

    Phone: (815) 993-7378

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210201000392INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678889789View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SUSAN J OLSEN (APRN FNP-C)?
NPI 1508491663 is assigned to SUSAN J OLSEN (APRN FNP-C) under the national enumeration system.
Does this profile mean SUSAN J OLSEN (APRN FNP-C) is currently active?
Yes — SUSAN J OLSEN (APRN FNP-C) appears active in the national provider directory.
What kind of provider is SUSAN J OLSEN (APRN FNP-C)?
The page reflects Family Nurse Practitioner for SUSAN J OLSEN (APRN FNP-C). Clinical services aligned with this taxonomy classification.
Where is SUSAN J OLSEN (APRN FNP-C)'s primary listing?
We display Mendota, Illinois because that is what the record indicates for SUSAN J OLSEN (APRN FNP-C).
What if Mendota, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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