NPIMap

Individual provider Active NPI

Julie A Olson, PA-C, FNP

  • Family Nurse Practitioner
  • Dawson, MN
National Provider Identifier
1336185776
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1805 Issued in MN
Practice address
1282 Walnut St
Dawson, MN 56232-2333
Phone
(320) 769-4323
Fax
(320) 769-2972
NPI assigned
Jun 22, 2006
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11253 MN
Family Nurse Practitioner 363LF0000X 1805 MN Primary

Addresses

Primary practice location

1282 Walnut St
Dawson, MN 56232-2333

Mailing address

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

Other identifiers 1

IdentifierTypeStateIssuer
6820844MedicaidSD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jolson@jmhs.securechart.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001593 MN Practitioner - Nurse Practitioner 7113060922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial Health ServicesGroup PAC ID 5395653836, 17 clinicians

Practice addresses (Care Compare)

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0240SDMDPhysical Therapist
1070SDMDOccupational Therapist
11253MNMDPhysician Assistant
1805MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Services Current Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

Interoperability endpoints

  • Direct secure messaging: jolson645350@direct.centracare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1336185776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PA-C, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6820844",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolson@jmhs.securechart.com",
            "affiliation": "N",
            "address_1": "1282 Walnut St",
            "city": "Dawson",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562322333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawson, MN

Sources for this page

Verify at the official NPI Registry.