Jay Edward Olsson, DO PROF ASSOCIATIONN

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS0004087 Issued in FL

Practice address

401 N Wickham Rd
Suite S
Melbourne, FL 32935-8659

Phone

(321) 242-9031

Fax

(321) 242-9035

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Sea Pines Rehab Hosp Affiliate of Encompass Health Inpatient rehabilitation facility, Melbourne, FL, CCN 103034

Merit-based Incentive Payment System (MIPS)

Final score

83.81 of 100Reported as individual

Quality

56.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.olsson.1@8042.direct.athenahealth.com
• Direct secure messaging: jolsson71826@epicdirect.hf.org
• Direct secure messaging: admin@j-olsson-group.e-mdsdirect.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Aquatic Health and Rehabilitation Services Inc

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1831294412
  NPD (past)

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

• Holmes Regional Medical Center, Inc.

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Sea Pines Rehabilitation Hospital Limited Partnership

  • Rehabilitation Hospital
  • Melbourne, FL
  • NPI 1205809910

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1144264904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WICKHAM RD",
            "address_2": "SUITE S",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358659",
            "telephone_number": "321-242-9031",
            "fax_number": "321-242-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WICKHAM RD",
            "address_2": "SUITE S",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358659",
            "telephone_number": "321-242-9031",
            "fax_number": "321-242-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "JAY",
        "middle_name": "EDWARD",
        "credential": "DO PROF ASSOCIATIONN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS0004087",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS4087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045794900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Oliver
• Marion L Oliver, PHARMACIST
• Kevin Olivieri
• Kristopher J Olsen, PHD
• Sara Olson
• Om Urology LLC
• Jurry Om, FNP
• Omni Healthcare, Inc
• Omni Healthcare, Inc.
• Omni Healthcare, Inc.

• Physical Medicine & Rehabilitation Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.