Individual provider Active NPI

Jessica Lynn Olson, APNP

  • Family Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1346764180
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7942-33 Issued in WI
Practice address
17280 W North Ave Ste G100
Brookfield, WI 53045-4366
Phone
(262) 214-1101
Fax
(855) 475-8219
NPI assigned
Aug 2, 2017
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7942-33 WI Primary
Internal Medicine Physician 207R00000X F08170126 WI

Addresses

Primary practice location

17280 W North Ave Ste G100
Brookfield, WI 53045-4366

Mailing address

2125 Penhurst Way
Waukesha, WI 53186-1224
Phone (262) 271-6280

Other identifiers 1

IdentifierTypeStateIssuer
100071340MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20171130001726 WI Practitioner - Nurse Practitioner 8820355787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08170126WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Care Clinic, LLC CurrentSince Apr 1, 2021 Accepting new patients
Healthstat Inc CurrentSince Nov 7, 2025 Accepting new patients

Locations

17280 W North Ave
Ste G100
Brookfield, WI 53045
Phone (262) 214-1101

108 Grove St
Eagle, WI 53119
Phone (262) 594-7012

Interoperability endpoints

  • Direct secure messaging: jessica.olson.1@14940.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1346764180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PENHURST WAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861224",
            "telephone_number": "262-271-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE STE G100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-214-1101",
            "fax_number": "855-475-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7942-33",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "F08170126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071340",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.