Individual provider Active NPI

Lindsey Anne Olson, CNP

  • Nurse Practitioner
  • Saint Joseph, MI
National Provider Identifier
1114685807
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71016226A Issued in IN
Practice address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone
(269) 983-8300
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704267250 MI
Nurse Practitioner 363L00000X 4704267250 MI
Nurse Practitioner 363L00000X 71016226A IN Primary

Addresses

Primary practice location

1234 Napier Ave
Saint Joseph, MI 49085-2112

Mailing address

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

Other practice location 1

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 683-5510

Other practice location 2

460 Medical Park Dr Ste 200
Watervliet, MI 49098-9225
Phone (269) 463-3600

Other practice location 3

2002 S 11th St
Niles, MI 49120-4074
Phone (269) 687-0200

Other practice location 4

5515 Cleveland Ave
Stevensville, MI 49127-9669
Phone (269) 429-9677

Other identifiers 2

IdentifierTypeStateIssuer
4704267250OtherMI382156872
4704267250MedicaidMI

Other names 1

  • Lindsey Anne Olson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215002017 MI Practitioner - Nurse Practitioner 8628440849 Reassigns benefits to 4 organizations
I20250318002956 IN Practitioner - Nurse Practitioner 8628440849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians
South Bend Emergency Physicians IncGroup PAC ID 0941282354, 51 clinicians

Practice addresses (Care Compare)

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (954) 939-5000

615 N Michigan St
South Bend, IN 46601-1033
Phone (574) 647-1000

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267250MIMDRegistered Nurse
71016226AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet CurrentSince Dec 14, 2022 Accepting new patients
Epmg Southwest Michigan PLLC Nurse Practitioner CurrentSince Jan 30, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Dec 14, 2022 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Dec 14, 2022 Accepting new patients
South Bend Emergency Physicians, Inc CurrentSince Feb 1, 2025 Accepting new patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Lakeland Medical Practices CurrentSince Nov 2, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 2, 2022 Accepting new patients
Lakeland Community Hospital Watervliet Past Accepting new patients

Locations

3220 Beacon Pkwy
Granger, IN 46530
Phone (574) 647-8788

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

5515 Cleveland Ave
Stevensville, MI 49127
Phone (269) 429-9644

5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644

460 Medical Park Dr
Ste 200
Watervliet, MI 49098

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • Direct secure messaging: lolson1271188@epic00.corewelldirect.org
  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 9

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 4

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1114685807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NAPIER AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852112",
            "telephone_number": "269-983-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NAPIER AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852112",
            "telephone_number": "269-983-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 N Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202207",
            "country_code": "US",
            "telephone_number": "269-683-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Watervliet",
            "state": "MI",
            "postal_code": "490989225",
            "country_code": "US",
            "telephone_number": "269-463-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204074",
            "country_code": "US",
            "telephone_number": "269-687-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5515 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MI",
            "postal_code": "491279669",
            "country_code": "US",
            "telephone_number": "269-429-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LINDSEY",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704267250",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704267250",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016226A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "382156872",
            "identifier": "4704267250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4704267250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "OLSON",
            "middle_name": "ANNE",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.