Active NPI
Brett Joel Olson, M.D.
- Family Medicine Physician
- Spirit Lake, IA
National Provider Identifier
1346211646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26855
- Practice address
- 2700 23Rd St
Spirit Lake, IA 51360-1158 - Phone
- (712) 336-2410
- Fax
- (712) 336-3241
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26855 | IA | Primary |
Addresses
Primary practice location
2700 23Rd St
Spirit Lake, IA 51360-1158
Mailing address
2700 23Rd St
Spirit Lake, IA 51360-1158
Phone (712) 336-2410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074393 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Hwy 71
Spirit Lake, IA 51360-1184
2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230
Hospital & facility affiliations
- Lakes Regional Healthcare Home Care
- Avera @ Home
- St Croix Hospice
- Lakes Regional Healthcare Hospice
- Lakes Regional Healthcare
- Spencer Municipal Hospital
- Avera Holy Family Hospital
- Avera McKennan Hospital & University Health Center
- Avera Heart Hospital of South Dakota
- Accura Healthcare of Spirit Lake
- Accura Healthcare of Milford
- Estherville Community Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26855 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Regional Healthcare | Family Medicine | Past | Accepting new patients |
| Lakes Regional Healthcare | Past | Accepting new patients |
Interoperability endpoints
- brett.olson@avera.sdhealthlink.net
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Accura Healthcare of Spirit Lake LLC | Skilled nursing facility | W-2 Managing Employee | Jan 1, 2024 |
| Accura Healthcare of Milford | Skilled nursing facility | W-2 Managing Employee | Jan 1, 2024 |
| Mils Home Health Care Agency, Inc | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) |
Nov 20, 2024 Nov 20, 2024 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Milford, IA
- NPI 1376061739
W-2 Managing Employee
-
- Skilled Nursing Facility
- Spirit Lake, IA
- NPI 1457879819
W-2 Managing Employee
-
- Home Health Agency
- Woodbury, MN
- NPI 1598862708
5% Or Greater Direct Ownership Interest, Corporate Officer
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Spirit Lake, IA
- NPI 1508862012
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Spirit Lake, IA
- NPI 1457879819
Nursing home
-
- Home Health Agency
- Estherville, IA
- NPI 1720001936
-
- Home Health Agency
- Spirit Lake, IA
- NPI 1932163904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1346211646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 23RD ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601158",
"telephone_number": "712-336-2410",
"fax_number": "712-336-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 23RD ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601158",
"telephone_number": "712-336-2410",
"fax_number": "712-336-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "BRETT",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "26855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2074393",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.