Individual provider Active NPI

Michele Olsen, FNP-C

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1285000190
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20270 Issued in TN
Practice address
216 Goodwill Rd SE
Cleveland, TN 37323-8434
Phone
(423) 322-7856
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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 20270 TN Primary

Addresses

Primary practice location

216 Goodwill Rd SE
Cleveland, TN 37323-8434

Mailing address

216 Goodwill Rd SE
Cleveland, TN 37323-8434
Phone (423) 322-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160216000990 TN Practitioner - Nurse Practitioner 4385949171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20270TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee River Physicians, PLLC Current Accepting new patients
Tennessee River Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients
Erlanger Health CurrentSince Jan 30, 2026 Accepting new patients
Tennessee River Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients
Erlanger Health CurrentSince Jan 30, 2026 Accepting new patients
Chattanooga Hamilton County Hospital Authority PastSince Feb 1, 2023 Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients

Locations

1751 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 680-8000

1755 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 778-8400

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1285000190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GOODWILL RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373238434",
            "telephone_number": "423-322-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GOODWILL RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373238434",
            "telephone_number": "423-322-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MICHELE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.