Active NPI
Kenneth A Olson, CRNA
- Certified Registered Nurse Anesthetist
- Reedsburg, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101280
- Practice address
- 2000 N Dewey Ave
Reedsburg, WI 53959-1049 - Phone
- (608) 524-6487
- Fax
- (608) 524-0842
- NPI assigned
- Aug 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101280 | WI | Primary |
Addresses
Primary practice location
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (608) 524-6487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43334600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Health Services Inc
Practice addresses (Care Compare)
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101280 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
Interoperability endpoints
- kolson656376@direct.unitypoint.org
Organizations & group practices 10
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.
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Critical Access Hospital
- Hillsboro, WI
- NPI 1972591410
-
dba RAMC La Valle Clinic
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Critical Access Hospital
- Hillsboro, WI
- NPI 1497960082
-
- Clinic/Center
- Elroy, WI
- NPI 1699788273
-
dba Sanford Health Primewest Residential Support Center
- Mental Illness Community Based Residential Treatment Facility
- Bemidji, MN
- NPI 1093278764
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1144221946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "608-524-6487",
"fax_number": "608-524-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N DEWEY AVE",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591049",
"telephone_number": "608-524-6487",
"fax_number": "608-524-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "101280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43334600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.