Active NPI
Kristi Rae Olson, M.D.
- Family Medicine Physician
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301087107
- Practice address
- 1711 S Stephenson Ave Ste 300
Iron Mountain, MI 49801-3650 - Phone
- (906) 774-1633
- Fax
- (906) 774-4451
- NPI assigned
- May 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301087107 | MI | Primary |
Addresses
Primary practice location
1711 S Stephenson Ave Ste 300
Iron Mountain, MI 49801-3650
Mailing address
1711 S Stephenson Ave Ste 300
Iron Mountain, MI 49801-3650
Phone (906) 774-1633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4890529 | Medicaid | MI | |
| P00362792 | Other | MI | RAILROAD MEDICARE |
| 34877900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 S Stephenson Ave
Iron Mountain, MI 49801-3650
Phone (906) 774-1633
1721 S Stephenson Ave
Dickinson County Healthcare System
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
580 W College Ave
Up Health System
Marquette, MI 49855-2736
Phone (906) 228-9440
Hospital & facility affiliations
- Dickinson Home Health
- North Woods Home Nursing
- Marshfield Medical Center - Dickinson Hospice
- Marshfield Medical Center
- Dickinson County Memorial Hospital
- Aspirus Iron River Hospital & Clinics, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Michigan PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan, PLLC | Current | Accepting new patients | |
| Michigan-Wisconsin Family Practice Associates, P.C. | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Family Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Dickinson County Healthcare System | Family Medicine | Past | Accepting new patients |
Locations
1711 S Stephenson Ave
Ste 300
Iron Mountain, MI 49801
Phone (906) 774-1633
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
800 East Blvd
Kingsford, MI 49802
Phone (906) 225-3846
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshfield Medical Center - Dickinson Hospice | Hospice | W-2 Managing Employee (100%) | Feb 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Iron Mountain, MI
- NPI 1033756556
W-2 Managing Employee
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Iron Mountain, MI
- NPI 1972605913
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Family Medicine
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Family Medicine
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marquette, MI
- NPI 1073861431
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Family Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
Hospital
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Community Based Hospice Care Agency
- Iron Mountain, MI
- NPI 1033756556
-
- Home Health Agency
- Iron Mountain, MI
- NPI 1063443430
-
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
- Home Health Agency
- Manistique, MI
- NPI 1659379097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1265480297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE STE 300",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013650",
"telephone_number": "906-774-1633",
"fax_number": "906-774-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE STE 300",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013650",
"telephone_number": "906-774-1633",
"fax_number": "906-774-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KRISTI",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301087107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4890529",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00362792",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34877900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.