Individual provider Active NPI

Lisa Linn Olson, FNP

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1265925713
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11363 Issued in AZ
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

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 8224402607, 2 clinicians

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 Home health agency, Tucson, AZ, CCN 037130
  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Amedisys Home Health Care Home health agency, Tucson, AZ, CCN 037248
  • Sacred Heart Home Health Care - Tucson Home health agency, Tucson, AZ, CCN 037144
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11363AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona LLP CurrentSince Oct 10, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Best Life Wellness Az LLC CurrentSince Feb 3, 2023 Accepting new patients
Arizona Advanced Surgical Associates LLC PastSince Nov 17, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.