NPIMap

Individual provider Active NPI

Rebecca J Olson, CNP

  • Family Nurse Practitioner
  • Winner, SD
National Provider Identifier
1013203603
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000644 Issued in SD
Practice address
825 E 8TH St
Winner, SD 57580-2634
Phone
(605) 842-2626
Fax
(605) 842-3557
NPI assigned
Jun 22, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP000644 SD Primary

Addresses

Primary practice location

825 E 8TH St
Winner, SD 57580-2634

Mailing address

825 E 8TH St
Winner, SD 57580-2634
Phone (605) 842-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000055 SD Practitioner - Nurse Practitioner 5991975286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital IncGroup PAC ID 2163317900, 10 clinicians

Practice addresses (Care Compare)

745 E 8TH St
Winner, SD 57580-2677
Phone (605) 842-7100

809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.75 of 100Reported as group
Quality
90.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000644SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Inc CurrentSince Oct 29, 2015 Accepting new patients
Community Memorial Hospital, Inc Current Accepting new patients
Winner Regional Healthcare Center CurrentSince Oct 1, 2011 Accepting new patients
Community Memorial Hospital Inc CurrentSince Oct 29, 2015 Accepting new patients
Winner Regional Healthcare Center CurrentSince Oct 1, 2011 Accepting new patients
Winner Regional Healthcare Center Family Past Accepting new patients
Winner Regional Healthcare Center Past Accepting new patients

Locations

314 Mellette St
Bonesteel, SD 57317
Phone (605) 654-9021

245 S Main St
Ofc 1
Winner, SD 57580

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

825 E 8th St
Winner, SD 57580
Phone (605) 842-1612

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1013203603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E 8TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802634",
            "telephone_number": "605-842-2626",
            "fax_number": "605-842-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 8TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802634",
            "telephone_number": "605-842-2626",
            "fax_number": "605-842-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.