NPIMap

Individual provider Active NPI

Matthew Olmstead, D.O.

  • Emergency Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1093836843
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50534 Issued in WI
Practice address
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone
(715) 838-3635
NPI assigned
Apr 2, 2007
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015633 MI
Emergency Medicine Physician 207P00000X 50534 WI Primary

Addresses

Primary practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222

Other practice location 1

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address molmstead42692@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20071220000512 WI Practitioner - Emergency Medicine 0244320729 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Northwest Wisconsin Region IncGroup PAC ID 4385553627, shared by 21 NPIs, 797 clinicians

Practice addresses (Care Compare)

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015633MIMDEmergency Medicine Physician
50534WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 15, 2017 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 15, 2017 Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531

13025 8th St
Osseo, WI 54758
Phone (715) 597-2575

Interoperability endpoints

  • Direct secure messaging: molmstead42692@ehrdirect.mayoclinicmsg.org

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 520070 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI, CCN 520004 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System - SpartaSparta, WI, CCN 521305 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 521340 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-NorthlandBarron, WI, CCN 521315 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 521302 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 521314 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 52Z340 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-NorthlandBarron, WI, CCN 52Z315 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 52Z302 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 52Z314 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System- SpartaSparta, WI, CCN 52Z305 Hospital Corporate Director Jan 1, 2025
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 527138 Home health agency Corporate Director Jan 1, 2025
Mayo Clinic Health System - SpartaSparta, WI, CCN 523998 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System-Southwest Wisconsin Region IncArcadia, WI, CCN 528601 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System - Prairie Du ChienPrairie Du Chien, WI, CCN 528625 Rural health clinic Corporate Director Jan 1, 2025
Mayo Clinic Health System - Oakridge in MondoviMondovi, WI, CCN 528627 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

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 3

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1093836843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-3635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544813114",
            "country_code": "US",
            "telephone_number": "715-346-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015633",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "50534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molmstead42692@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1400 Bellinger St",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547035222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.