Individual provider Active NPI

Amber Olsen, DO

  • Family Medicine Physician
  • Sheffield, AL
National Provider Identifier
1114487337
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2352 Issued in AL
Practice address
1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone
(256) 383-4447
Fax
(256) 381-7999
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.2352 AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773

Mailing address

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001361 AL Practitioner - Family Practice 6608100573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of the Shoals, P.C.Group PAC ID 1456317833, 24 clinicians

Practice addresses (Care Compare)

1120 S Jackson Hwy
Suite 300
Sheffield, AL 35660-5773
Phone 2563834447104

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Preferred Home Health Home health agency, Florence, AL, CCN 017177
  • Keller Home Care Home health agency, Red Bay, AL, CCN 017125
  • Amedisys Home Health of Florence Home health agency, Florence, AL, CCN 017165
  • Southerncare New Beacon Scottsboro Hospice, Scottsboro, AL, CCN 011512
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • Mitchell-Hollingsworth Nursing & Rehabilitation Nursing home, Florence, AL, CCN 015031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2352ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Shoals, P.C. Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Northwest Alabama Radiology Associates LLC PastSince Jun 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

2735 Cloverdale Rd
Florence, AL 35633
Phone (256) 415-4005

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

Organizations & group practices 3

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 9

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1114487337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "AMBER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.