Individual provider Active NPI

Marlene K Olson, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1215957733
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-574A Issued in ID
Practice address
600 N Robbins Rd
Suite 100
Boise, ID 83702-4565
Phone
(208) 383-0201
Fax
(208) 489-4300
NPI assigned
Jul 20, 2006
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X P75359 ID
Nurse Practitioner 363L00000X NP-574A ID Primary

Addresses

Primary practice location

600 N Robbins Rd
Suite 100
Boise, ID 83702-4565

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20050414000248 ID Practitioner - Nurse Practitioner 4880631597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlimited Health ChiropracticGroup PAC ID 7315071339, 17 clinicians

Practice addresses (Care Compare)

320 E Neider Ave
Suite 103
Coeur D Alene, ID 83815-6007
Phone (208) 930-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
P75359IDMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
NP-574AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Apr 7, 2014 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Nov 7, 2023 Accepting new patients
Unlimited Health Chiropractic CurrentSince Jul 19, 2025 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Nov 7, 2023 Accepting new patients
Emergency Medicine of Idaho Undersea and Hyperbaric Medicine Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2235

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

600 N Robbins Rd
Ste 100
Boise, ID 83702
Phone (208) 381-9037

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

320 E Neider Ave
Ste 103
Coeur D Alene, ID 83815
Phone (208) 930-4944

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

520 S Eagle Rd
#3217
Meridian, ID 83642
Phone (208) 489-5800

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1215957733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-383-0201",
            "fax_number": "208-489-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARLENE",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "P75359",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-574A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.