Active NPI
Christina M.B. Olson, C.N.P.
- Nurse Practitioner
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP 3550
- Practice address
- 9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480 - Phone
- (763) 587-7000
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R130557-1 | MN | |
| Nurse Practitioner | 363L00000X | CNP 3550 | MN | Primary |
Addresses
Primary practice location
9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480
Mailing address
9825 Hospital Dr Ste 205
Maple Grove, MN 55369-4480
Phone (763) 587-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10081 Dogwood St NW
Suite 100
Coon Rapids, MN 55448-5282
Phone (612) 588-9411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 3550 | MN | MD | Nurse Practitioner |
| R130557-1 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthsource | Current | Accepting new patients | |
| Neighborhood Healthsource | Current | Accepting new patients | |
| Neighborhood Healthsource | Past | Accepting new patients |
Locations
10081 Dogwood St NW
Ste 100
Coon Rapids, MN 55448
Phone (763) 783-3722
342 13th Ave NE
Minneapolis, MN 55413
Phone (612) 362-4111
3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411
2301 Central Ave NE
Minneapolis, MN 55418
Phone (612) 588-9411
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1386682078
-
dba North Metro Clinic
- Federally Qualified Health Center (FQHC)
- Coon Rapids, MN
- NPI 1659323459
-
dba Central Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1811934763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1205945821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 205",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694480",
"telephone_number": "763-587-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 205",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694480",
"telephone_number": "763-587-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CHRISTINA",
"middle_name": "M.B.",
"name_prefix": "Ms.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R130557-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "CNP 3550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.