Myeongsun Olson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

13951 Fire Creek Trail Dr
Eagle River, AK 99577-7029

Phone

(907) 280-9483

Fax

(907) 313-7501

NPI assigned

Jan 20, 2021

Last updated

Apr 14, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Clover Care Coordination LLC

  dba Clover Care Coordination

  • Case Management Agency
  • Eagle River, AK
  • NPI 1205621604
  NPD Authorized official
• Alzheimer's Disease Resource Agency of Alaska, Inc.

  • Case Manager/Care Coordinator
  • Anchorage, AK
  • NPI 1316151095
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1255921607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771172",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995771172",
            "telephone_number": "907-280-9483",
            "fax_number": "907-313-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 FIRE CREEK TRAIL DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777029",
            "telephone_number": "907-280-9483",
            "fax_number": "907-313-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MYEONGSUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Alaska PC (Primary Care Associates)
• Carissa Ochoa, CCC-SLP
• Hillary Ogden
• Michael Oien
• Makayla Oliver
• Sarah Opdycke
• Optical Matchmakers/Home Optics LLC
• Orion Behavioral Health Network LLC
• Orion Behavioral Health Network LLC
• Alina Ortega

• Case Manager/Care Coordinator in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.