Individual provider Active NPI

Kate-Lynn M Olson-Geier, P.A.

  • Medical Physician Assistant
  • Morris, IL
National Provider Identifier
1063443679
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085001901 Issued in IL
Practice address
150 W High St
Morris, IL 60450-1463
Phone
(815) 942-2932
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085001901 IL Primary

Addresses

Primary practice location

150 W High St
Morris, IL 60450-1463

Mailing address

285 S Kinsman Rd
Slot 303125
Seneca, IL 61360-9317
Phone (815) 955-4174

Other identifiers 1

IdentifierTypeStateIssuer
970029506OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000596 IL Practitioner - Physician Assistant 2264512201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 942-0545

101 S Prairie Ave
Dwight, IL 60420-1350
Phone (815) 584-3291

1450 E Division St
Morris Hospital Diamond Coal City Campus
Diamond, IL 60416-6050
Phone (815) 634-3500

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

Hospital & facility affiliations

  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Feb 11, 2017 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Past Accepting new patients

Locations

27240 W Saxony Dr
Fl First
Channahon, IL 60410

1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500

150 W High St
Morris, IL 60450
Phone (815) 942-2129

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

725 School St
Ste A
Morris, IL 60450

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1063443679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S KINSMAN RD",
            "address_2": "SLOT 303125",
            "city": "SENECA",
            "state": "IL",
            "postal_code": "613609317",
            "telephone_number": "815-955-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "815-942-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON-GEIER",
        "first_name": "KATE-LYNN",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085001901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970029506",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.