Active NPI
Cody Olson, NP, RN
- Acute Care Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 312801
- Practice address
- 2000 W Bethany Home Rd
Phoenix, AZ 85015-2443 - Phone
- (602) 246-5739
- NPI assigned
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 312801 | AZ | Primary |
| Registered Nurse | 163W00000X | 212125 | AZ |
Addresses
Primary practice location
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Mailing address
13362 W Rowel Rd
Peoria, AZ 85383-5964
Phone (623) 810-3589
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 246-5681
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212125 | AZ | MD | Registered Nurse |
| 312801 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Acute Medical Services 1 PC | Multi-Specialty | Current | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1477537363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1306676333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13362 W ROWEL RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853835964",
"telephone_number": "623-810-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152443",
"telephone_number": "602-246-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CODY",
"credential": "NP, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "312801",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "AZ",
"license": "212125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.