Individual provider Active NPI

Shelby E Olsson, MPA, MSN, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1417564576
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010910 Issued in FL
Practice address
2222 N Nevada Ave Ste 4004
Colorado Springs, CO 80907-6832
Phone
(719) 471-7064
NPI assigned
Sep 23, 2020
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0101462-C-NP CO
Family Nurse Practitioner 363LF0000X C-APN.0101462-C-NP CO
Family Nurse Practitioner 363LF0000X APRN11010910 FL Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 4004
Colorado Springs, CO 80907-6832

Mailing address

1300 Medical Dr
Tallahassee, FL 32308-4646

Other practice location 1

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-8040

Other names 1

  • Shelby E Vidor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 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
I20210408001003 FL Practitioner - Nurse Practitioner 4082021167 Reassigns benefits to 1 organization
I20241119003680 CO Practitioner - Nurse Practitioner 4082021167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
HSPH Hospitalists PSF
Colorado Springs, CO 80907-6819
Phone (719) 776-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 11, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 11, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2024 Accepting new patients
Colorado Springs Pulmonary Consultants PC PastSince Jul 21, 2024 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

2222 N Nevada Ave
Ste 4004
Colorado Springs, CO 80907
Phone (719) 471-7064

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

Interoperability endpoints

  • Direct secure messaging: solsson21868@tallahasseememorial.direct-ci.com

Organizations & group practices 7

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 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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1417564576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076819",
            "country_code": "US",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "SHELBY",
        "middle_name": "E",
        "credential": "MPA, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0101462-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0101462-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "VIDOR",
            "middle_name": "E",
            "credential": "MPA, MSN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.