Active NPI
Eric A Olsen, M.D.
- Emergency Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01061564A
- Practice address
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 266-1000
- Fax
- (260) 482-4442
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01061564A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 01057913 | IN |
Addresses
Primary practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Mailing address
608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 482-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200801860 | Medicaid | IN | |
| 000000694195 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Cincinnati College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.02 of 100
- Quality
- 74.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057913 | IN | MD | Emergency Medicine Physician |
| 01061564A | IN | MD | Emergency Medicine Physician |
| 35.084414 | OH | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Parkview Health System, Inc. | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| Summa Emergency Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
| Internal Medicine Specialist, PA | Past | Accepting new patients | |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine of Indiana LLC | Emergency Medicine | Past | Accepting new patients |
| Interventional Pain Consultants, LLC | Past | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440
3640 New Vision Dr
Ste A
Fort Wayne, IN 46845
Phone (260) 482-4440
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195
710 N East St
Ste D
Wabash, IN 46992
Phone (260) 569-2901
710 N East St
Wabash, IN 46992
Phone (219) 563-3131
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
Interoperability endpoints
- eolsen9993@direct.parkviewexchange.com
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- Critical Access Hospital
- Montpelier, OH
- NPI 1275575227
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1881969418
-
- Interventional Pain Medicine Physician
- Fort Wayne, IN
- NPI 1164661054
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1326079567
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1801822523
-
- Emergency Medicine Physician
- Wooster, OH
- NPI 1811936883
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1073533618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 UNION CHAPEL RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459357",
"telephone_number": "260-482-4440",
"fax_number": "260-482-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-266-1000",
"fax_number": "260-482-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "ERIC",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01061564A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01057913",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200801860",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000694195",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.