NPIMap

Individual provider Active NPI

Tessa Laurel Olsen

  • Physician Assistant
  • Rapid City, SD
National Provider Identifier
1124756234
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1303 N Lacrosse St
Rapid City, SD 57701-6956
Phone
(605) 755-2273
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1303 N Lacrosse St
Rapid City, SD 57701-6956

Mailing address

1601 S Larkspur TRL
Sioux Falls, SD 57106-3328
Phone (605) 731-9638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20221215000899 SD Practitioner - Physician Assistant 6103295050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

1730 Haines Ave
Rapid City, SD 57701-0615
Phone (605) 791-7788

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

741 Mountain View Rd
Suite 1
Rapid City, SD 57702-2539
Phone (605) 791-7777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 9, 2022 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 9, 2022 Accepting new patients
Black Hills Surgical Hospital, LLC Current Accepting new patients
Black Hills Surgical Hospital, LLC CurrentSince Jul 21, 2025 Accepting new patients
Black Hills Surgical Hospital, LLC Past Accepting new patients

Locations

1730 Haines Ave
Rapid City, SD 57701
Phone (605) 791-7788

1303 N Lacrosse St
Rapid City, SD 57701
Phone (605) 755-6600

216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1124756234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S LARKSPUR TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063328",
            "telephone_number": "605-731-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N LACROSSE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016956",
            "telephone_number": "605-755-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "TESSA",
        "middle_name": "LAUREL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.