Kenneth Cornell Olson, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

7183 Issued in MT

Practice address

2040 N 22ND Ave Ste 2
Bozeman, MT 59718-3152

Phone

(406) 586-5511

Fax

(406) 586-4713

NPI assigned

Nov 11, 2006

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Medical College of Wisconsin, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19279/brand/1/csg/1/fhir/r4
• Direct secure messaging: kenneth.olson.1@19279.direct.athenahealth.com

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.

• Bridger Psychiatric Services PC

  • Psychiatry Physician
  • Bozeman, MT
  • NPI 1902075419
  Medicare reassignment NPD Authorized official
• Bridger Child & Adolescent Psychiatry

  • Health Maintenance Organization
  • Bozeman, MT
  • NPI 1992974497
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1407927510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N 22ND AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183152",
            "telephone_number": "406-586-5511",
            "fax_number": "406-586-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N 22ND AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183152",
            "telephone_number": "406-586-5511",
            "fax_number": "406-586-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KENNETH",
        "middle_name": "CORNELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "7183",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MT",
            "license": "7183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Ogilvie, PA
• Ohhi LLC
• Garth A Olds, MD
• Olive Therapy LLC
• Ashley M Olsen, MSW, LCSW
• Willow Rose Olson
• Tammy Machowicz Olsztyn
• Omni Wound Physicians Mt, PLLC (Omni Wound Physicians Montana)
• Luke William Omohundro, MD
• On Pointe Microsurgery PLLC

• Addiction Psychiatry Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Addiction Psychiatry Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.
• 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.

Verify at the official NPI Registry.