Active NPI
Melissa Rene Olin, FNP, RN
- Family Nurse Practitioner
- Bend, OR
National Provider Identifier
1336571629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250180NP
- Practice address
- 2965 NE Conners Ave
Suite 280
Bend, OR 97701 - Phone
- (541) 323-4269
- NPI assigned
- Aug 8, 2013
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95020134 | CA | |
| Family Nurse Practitioner | 363LF0000X | APRN11014896 | FL | |
| Family Nurse Practitioner | 363LF0000X | RN308282 | GA | |
| Family Nurse Practitioner | 363LF0000X | APRN-5233-0 | HI | |
| Family Nurse Practitioner | 363LF0000X | 209025628 | IL | |
| Family Nurse Practitioner | 363LF0000X | 5015817 | NC | |
| Family Nurse Practitioner | 363LF0000X | 78010 | NM | |
| Family Nurse Practitioner | 363LF0000X | 886677 | NV | |
| Family Nurse Practitioner | 363LF0000X | 349236 | NY | |
| Family Nurse Practitioner | 363LF0000X | 1050279 | TX | |
| Family Nurse Practitioner | 363LF0000X | 0024183263 | VA | |
| Family Nurse Practitioner | 363LF0000X | AP61223702 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201250180NP | OR | Primary |
| Registered Nurse | 163W00000X | 201242749RN | OR |
Addresses
Primary practice location
2965 NE Conners Ave
Suite 280
Bend, OR 97701
Mailing address
1901 E 1St St
PO Box 467
Newton, KS 67114-0467
Phone (316) 284-6402
Other practice location 1
1 Hawthorne St Unit 23D
San Francisco, CA 94105-3984
Phone (347) 943-8131
Other practice location 2
64 Bleecker St # 151
New York, NY 10012-2410
Phone (917) 810-3965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201242749RN | OR | MD | Registered Nurse |
| 95020134 | CA | MD | Family Nurse Practitioner |
| APRN11014896 | FL | MD | Family Nurse Practitioner |
| RN308282 | GA | MD | Family Nurse Practitioner |
| APRN-5233-0 | HI | MD | Family Nurse Practitioner |
| 209025628 | IL | MD | Family Nurse Practitioner |
| 5015817 | NC | MD | Family Nurse Practitioner |
| 78010 | NM | MD | Family Nurse Practitioner |
| 886677 | NV | MD | Family Nurse Practitioner |
| 349236 | NY | MD | Family Nurse Practitioner |
| 201250180NP | OR | MD | Family Nurse Practitioner |
| 1050279 | TX | MD | Family Nurse Practitioner |
| 0024183263 | VA | MD | Family Nurse Practitioner |
| AP61223702 | WA | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- melissa.olin@450368864321540.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1336571629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E 1ST ST",
"address_2": "PO BOX 467",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140467",
"telephone_number": "316-284-6402",
"fax_number": "316-284-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 NE CONNERS AVE",
"address_2": "SUITE 280",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-323-4269"
}
],
"practiceLocations": [
{
"address_1": "1 Hawthorne St Unit 23D",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941053984",
"country_code": "US",
"telephone_number": "347-943-8131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Bleecker St # 151",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122410",
"country_code": "US",
"telephone_number": "917-810-3965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIN",
"first_name": "MELISSA",
"middle_name": "RENE",
"credential": "FNP, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020134",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11014896",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN308282",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-5233-0",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209025628",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5015817",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "78010",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "886677",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349236",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1050279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183263",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61223702",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201250180NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201242749RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.