Susan J Walden, FNP-C is a medicare enrolled "Nurse Practitioner" in Kyle, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pine Ridge Indian Health Service Hospital, Wanblee Indian Health Service, Pine Ridge Indian Health Service Hospital and her current practice location is
1000 Health Center Road, Kyle, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 455-2451.
Susan J Walden is licensed to practice in Georgia (license number RN256011) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376041426.
Provider's Profile
Full Name | Susan J Walden |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 1000 Health Center Road, Kyle, South Dakota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan J Walden graduated from nursing school in 2017
NPI Data:
- NPI Number: 1376041426
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062764830
- Enrollment ID: I20210802001632
Medical Identifiers
Medical identifiers for Susan J Walden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376041426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | RN256011 (Georgia) | Primary |
163W00000X | Registered Nurse | RN256011 (Georgia) | Secondary |
163WC0400X | Registered Nurse - Case Management | RN256011 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | CP002059 (South Dakota) | Secondary |
363L00000X | Nurse Practitioner | RN256001 (Georgia) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pine Ridge Indian Health Service Hospital | 4688571326 | 88 |
Wanblee Indian Health Service | 4688654130 | 7 |
Pine Ridge Indian Health Service Hospital | 7214825371 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Susan J Walden allows following entities to bill medicare on her behalf.
Entity Name | Pine Ridge Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
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Entity Name | Pine Ridge Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
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Entity Name | Wanblee Indian Health Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan J Walden is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan J Walden, FNP-C 27 Wapiyapi Ave, Kyle, SD 57752-3115 Ph: (605) 455-2451 | Susan J Walden, FNP-C 1000 Health Center Road, Kyle, SD 57752 Ph: (605) 455-2451 |
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