Individual provider Active NPI

John Thomas Olstad, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1154105500
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14294-33 Issued in WI
Practice address
5500 W Vliet St
Milwaukee, WI 53208-2120
Phone
(414) 928-1414
Fax
(414) 928-1415
NPI assigned
Aug 24, 2023
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14294-33 WI Primary

Addresses

Primary practice location

5500 W Vliet St
Milwaukee, WI 53208-2120

Mailing address

1433 E Oklahoma Ave
Milwaukee, WI 53207-2430
Phone (414) 928-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240604003133 WI Practitioner - Nurse Practitioner 9931555166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14294-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Blooming Minds Psychotherapy LLC Past Accepting new patients

Locations

1706 S 68th St
West Allis, WI 53214
Phone (414) 667-4800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1154105500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072430",
            "telephone_number": "414-928-1414",
            "fax_number": "414-928-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082120",
            "telephone_number": "414-928-1414",
            "fax_number": "414-928-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSTAD",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14294-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.