Active NPI
Michael Scott Olsen, M.D.
- Emergency Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036122602
- Practice address
- Osf Saint Francis Medical Ctr
530 NE Glen Oak Avenue
Peoria, IL 61637 - Phone
- (309) 655-2000
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C152817 | CA | |
| Emergency Medicine Physician | 207P00000X | 125-051300 | IL | |
| Emergency Medicine Physician | 207P00000X | 01082233A | IN | |
| Emergency Medicine Physician | 207P00000X | 036122602 | IL | Primary |
Addresses
Primary practice location
Osf Saint Francis Medical Ctr
530 NE Glen Oak Avenue
Peoria, IL 61637
Mailing address
1015 N Flora Ave
Peoria, IL 61606-1405
Phone (847) 912-3897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000
Hospital & facility affiliations
- Presence Saints Mary and Elizabeth Medical Center
- Carle Health Pekin Hospital
- Community First Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C152817 | CA | MD | Emergency Medicine Physician |
| 125-051300 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Emergency Medicine | Current | Accepting new patients |
| Pekin Memorial Hospital | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Epss LLC - Central Series | Emergency Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Pekin Memorial Hospital | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- molsenmd389634@carlehiedirect.net
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
dba Community First Emergency Medicine Group
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine
-
- Emergency Medicine Physician
- Pekin, IL
- NPI 1538680467
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
dba Pekin Hospital
- Emergency Medical Services (Emergency Medicine) Physician
- Pekin, IL
- NPI 1245355411
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1518415751
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
dba Community First Medical Center Radiology
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community First Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1144423526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N FLORA AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061405",
"telephone_number": "847-912-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OSF SAINT FRANCIS MEDICAL CTR",
"address_2": "530 NE GLEN OAK AVENUE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61637",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C152817",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-051300",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01082233A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036122602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.