Active NPI
Jessica Lynn Olson, APNP
- Family Nurse Practitioner
- Brookfield, WI
National Provider Identifier
1346764180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7942-33
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100071340 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171130001726 | WI | Practitioner - Nurse Practitioner | 8820355787 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08170126 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Care Clinic, LLC | Current | Accepting new patients | |
| Healthstat Inc | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Eagle, WI
- NPI 1033701115
-
- Clinic/Center
- Brookfield, WI
- NPI 1467982751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.