NPIMap

Individual provider Active NPI

Brett D Olson, PA

  • Physician Assistant
  • Chanute, KS
National Provider Identifier
1386923894
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T03112 Issued in KS
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
Fax
(620) 431-7556
NPI assigned
Aug 15, 2011
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X T03112 KS Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

629 S Plummer Ave
P. O. Box 426
Chanute, KS 66720-1928
Phone (620) 431-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brettolson@Neosho.CernerDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000211 KS Practitioner - Physician Assistant 9739359746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neosho Memorial Regional Medical CenterGroup PAC ID 9133022882, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

1500 W 7TH St
Nmrmc Orthopedic Clinic
Chanute, KS 66720-2575
Phone (620) 432-5775

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center CurrentSince Sep 1, 2011 Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Nmrmc Urology Clinic CurrentSince Sep 1, 2011 Accepting new patients
Neosho Memorial Regional Medical Center Past Accepting new patients
Neosho Memorial Regional Medical Center Past Accepting new patients

Locations

1500 W 7th St
Chanute, KS 66720
Phone (620) 432-5775

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

13920 Highway 59
Erie, KS 66733
Phone (620) 244-5700

Interoperability endpoints

  • Direct secure messaging: brett.olson@khindirect.org
  • Direct secure messaging: brettolson@neosho.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1386923894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "address_2": "P. O. BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BRETT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T03112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brettolson@Neosho.CernerDirect.com",
            "affiliation": "N",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667201928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.