Active NPI
Loren A Olson, M.D., D.L.F.A.P.A.
- Psychiatry Physician
- Des Moines, IA
National Provider Identifier
1184613101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21941
- Practice address
- 4908 Franklin Ave
Des Moines, IA 50310-1901 - Phone
- (515) 280-4930
- Fax
- (515) 309-0686
- NPI assigned
- Oct 21, 2005
- Last updated
- Jul 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21941 | IA | Primary |
| Psychiatry Physician | 2084P0800X | 2021003893 | MO |
Addresses
Primary practice location
4908 Franklin Ave
Des Moines, IA 50310-1901
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other practice location 1
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184613101 | Medicaid | IA | |
| 102269 | Other | IA | VALUE OPTIONS |
| 1184613101 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.52 of 100
- Quality
- 73.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021003893 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1184613101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 FRANKLIN AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101901",
"telephone_number": "515-280-4930",
"fax_number": "515-309-0686"
}
],
"practiceLocations": [
{
"address_1": "2016 S Main St",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "MO",
"postal_code": "644682655",
"country_code": "US",
"telephone_number": "660-562-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "LOREN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D., D.L.F.A.P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "21941",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2021003893",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184613101",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "102269",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "1184613101",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.