Individual provider Active NPI

Jennifer Leeann Olesen, NP-C

  • Family Nurse Practitioner
  • La Salle, IL
National Provider Identifier
1386199511
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000631 Issued in IL
Practice address
917 1St St
La Salle, IL 61301-2537
Phone
(815) 780-2525
Fax
(815) 205-4533
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277000631 IL Primary

Addresses

Primary practice location

917 1St St
La Salle, IL 61301-2537

Mailing address

917 1St St
La Salle, IL 61301-2537
Phone (815) 780-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161013000698 IL Practitioner - Nurse Practitioner 2769770494 Reassigns benefits to 1 organization
I20200619000022 TX Practitioner - Nurse Practitioner 2769770494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Local NP PCGroup PAC ID 2860804853, 2 clinicians

Practice addresses (Care Compare)

917 1St St
La Salle, IL 61301-2537
Phone (815) 780-2525

Hospital & facility affiliations

  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis CurrentSince Jul 13, 2020 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. CurrentSince Jul 13, 2020 Accepting new patients
Local NP PC Family CurrentSince Nov 30, 2020 Accepting new patients

Locations

917 1st St
La Salle, IL 61301
Phone (815) 780-2525

53585 Nokomis Rd
Ashland, WI 54806
Phone (715) 682-7133

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.

Hospital & facility affiliations 1

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1386199511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 1ST ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012537",
            "telephone_number": "815-780-2525",
            "fax_number": "815-205-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 1ST ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012537",
            "telephone_number": "815-780-2525",
            "fax_number": "815-205-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESEN",
        "first_name": "JENNIFER",
        "middle_name": "LEEANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Salle, IL

Sources for this page

Verify at the official NPI Registry.