Active NPI
Lisa Linn Olson, FNP
- Family Nurse Practitioner
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11363
- Practice address
- 4475 S I 19 Frontage Rd Ste 255
Green Valley, AZ 85614-5884 - Phone
- (520) 393-4863
- NPI assigned
- Jun 10, 2018
- 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 Nurse Practitioner | 363LF0000X | AP11363 | AZ | Primary |
Addresses
Primary practice location
4475 S I 19 Frontage Rd Ste 255
Green Valley, AZ 85614-5884
Mailing address
4455 S I 19 Frontage Rd
Green Valley, AZ 85614-5884
Phone (520) 393-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190521000359 | AZ | Practitioner - Nurse Practitioner | 4183793771 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Best Life Wellness Az LLC
Practice addresses (Care Compare)
275 W Continental Rd
Suite 141
Green Valley, AZ 85622-3666
Phone (520) 400-9229
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Bayada Home Health Care, Inc
- Amedisys Home Health Care
- Sacred Heart Home Health Care - Tucson
- Tucson Medical Center
- Northwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11363 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Arizona LLP | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Arizona, Inc. | Current | Accepting new patients | |
| Best Life Wellness Az LLC | Current | Accepting new patients | |
| Arizona Advanced Surgical Associates LLC | Past | Accepting new patients |
Locations
275 W Continental Rd
Ste 141
Green Valley, AZ 85622
Phone (520) 400-9229
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
AZ
-
- Surgery Physician
- Green Valley, AZ
- NPI 1730746843
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1043581846
-
- Home Health Agency
- Tucson, AZ
- NPI 1063743078
-
- Home Health Agency
- Tucson, AZ
- NPI 1841221751
-
- Home Health Agency
- Tucson, AZ
- NPI 1902847973
-
- Home Health Agency
- Tucson, AZ
- NPI 1093311284
-
- Home Health Agency
- Tucson, AZ
- NPI 1992745210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1265925713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 S I 19 FRONTAGE RD",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145884",
"telephone_number": "520-393-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4475 S I 19 FRONTAGE RD STE 255",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145884",
"telephone_number": "520-393-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LISA",
"middle_name": "LINN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-10",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.