Individual provider Active NPI

Jennifer Olsen, APRN FNP-C

  • Family Nurse Practitioner
  • West Glover, VT
National Provider Identifier
1316779358
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0137301 Issued in VT
Practice address
1375 S Albany Rd
West Glover, VT 05875-9546
Phone
(617) 763-3448
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 101.0137301 VT Primary

Addresses

Primary practice location

1375 S Albany Rd
West Glover, VT 05875-9546

Mailing address

1375 S Albany Rd
West Glover, VT 05875-9546
Phone (617) 763-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20241011001525 VT Practitioner - Nurse Practitioner 2567994890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0137301VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care Inc CurrentSince Oct 1, 2024 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Upper Valley Pediatrics, PLLC Past Accepting new patients
Northern Counties Health Care Past Accepting new patients

Locations

1422 N Craftsbury Rd
Craftsbury Common, VT 05827

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

Interoperability endpoints

  • Direct secure messaging: jennifer.olsen.1@28542.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1316779358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 S ALBANY RD",
            "city": "WEST GLOVER",
            "state": "VT",
            "postal_code": "058759546",
            "telephone_number": "617-763-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S ALBANY RD",
            "city": "WEST GLOVER",
            "state": "VT",
            "postal_code": "058759546",
            "telephone_number": "617-763-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JENNIFER",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Glover, VT

Sources for this page

Verify at the official NPI Registry.