Ellen Olson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5010541 Issued in NC

Practice address

600 Julian LN Ste 640
Arden, NC 28704-7812

Phone

(828) 552-3504

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12749/brand/1/csg/1/fhir/r4

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.

• Prospect Behavioral Pediatrics and Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Arden, NC
  • NPI 1215301569
  Medicare reassignment NPD
• Charles J. McGraw MD, LTD

  • Family Medicine Physician
  • Arden, NC
  • NPI 1528264231
  NPD
• Aulike Health Partners, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Kailua, HI
  • NPI 1811591654
  NPD (past)
• Reis Pediatrics LLC

  • Pediatrics Physician
  • Kailua, HI
  • NPI 1902196314
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174954440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 KAKAHIAKA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343474",
            "telephone_number": "503-313-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 640",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047812",
            "telephone_number": "828-552-3504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Kakahiaka St",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967343474",
            "country_code": "US",
            "telephone_number": "503-313-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010541",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "1653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen.olson@30137067438084.direct.elationemr.com",
            "affiliation": "Y",
            "affiliationName": "Reis Pediatrics LLC",
            "address_1": "30 Aulike St Ste 500",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Rick O'Connor, LCSW
• Oaks at Sweeten Creek Healthcare
• Mark Oerther
• Cristyn Bryn Olenick, MOT OTR/L
• Sandra Olinger, RPH
• Rebecca Marie Oquinn, MS, LCMHCA
• Elsie Osei-Nkansah, M.D.
• Cameron E Overstreet, PT. DPT
• Sarah Ann Page, LCSW
• Pain Management Associates of North Carolina

• Psychiatric/Mental Health Nurse Practitioner in Arden, NC
• Providers in Arden, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.