NPIMap

Individual provider Active NPI

Leif Olson, MD

  • Family Medicine Physician
  • Litchfield, MN
National Provider Identifier
1235711052
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73430 Issued in MN
Practice address
612 S Sibley Avenue
Litchfield, MN 55355-4913
Phone
(320) 693-3233
NPI assigned
Apr 21, 2021
Last updated
Jul 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73430 MN Primary

Addresses

Primary practice location

612 S Sibley Avenue
Litchfield, MN 55355-4913

Mailing address

612 S Sibley Avenue
Litchfield, MN 55355
Phone (320) 693-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406001057 MN Practitioner - Family Practice 6901209659 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MeekerGroup PAC ID 0840109740, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-3233

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73430MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
County of Meeker CurrentSince Oct 1, 2024 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Mar 1, 2023 Accepting new patients
Cura of Sauk Centre LLC CurrentSince Mar 1, 2023 Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2023 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Mar 1, 2023 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Mar 1, 2023 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
County of Meeker Current Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2023 Accepting new patients
Centracare Health System - Melrose CurrentSince Oct 1, 2023 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

740 Parker Ave W
Dassel, MN 55325
Phone (320) 275-4330

611 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-2804

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • Direct secure messaging: lolson575646@direct.centracare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1235711052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S SIBLEY AVENUE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "55355",
            "telephone_number": "320-693-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S SIBLEY AVENUE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553554913",
            "telephone_number": "320-693-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LEIF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-07-13",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "73430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MN

Sources for this page

Verify at the official NPI Registry.