Kassandra Olson, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

45553 Issued in WY

Practice address

3151 E 3900 S
Salt Lake City, UT 84124-2143

Phone

(801) 529-6411

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Sublette County Hospital DistrictGroup PAC ID 5496163461, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CCN 531320 Hospital, CCN 531320
• Sublette County Health Hospital, Pinedale, WY, CCN 530038
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Star Valley Medical Center Hospital, Afton, WY, CCN 531313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kolson777635@direct.ochin.org

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.

• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062

  ID

  Medicare reassignment Care Compare group NPD
• Sublette County Hospital District

  dba Pinedale Medical Clinic

  • Family Medicine Physician
  • Pinedale, WY
  • NPI 1104410596
  Medicare reassignment Care Compare group NPD
• Teton County Hospital District

  dba St John's Health

  • General Practice Physician
  • Jackson, WY
  • NPI 1487818605
  Medicare reassignment Care Compare group
• Sublette County Hospital District

  dba Pinedale Urgent Care

  • Urgent Care Clinic/Center
  • Pinedale, WY
  • NPI 1346927118
  NPD
• Sublette County Hospital District

  dba Marbleton-Big Piney Clinic

  • Family Medicine Physician
  • Big Piney, WY
  • NPI 1699369082
  NPD

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

• Eastern Idaho Health Services Inc

  dba Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  Care Compare affiliation
• Sublette County Hospital District

  dba Sublette County Health

  • Critical Access Hospital
  • Pinedale, WY
  • NPI 1598577611
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1194353268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242143",
            "telephone_number": "801-529-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242143",
            "telephone_number": "801-529-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KASSANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WY",
            "license": "45553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Olson
• Craige J Olson, DDS
• David Cameron Olson, M.D.
• Drake Olson
• Erika Brooke Olson, LCSW
• Madeline Elizabeth Olson
• Malia Monica Olson
• Patrick R Olson, M.D.
• Randall J. Olson, MD
• Samantha Olson

• Acute Care Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.