Individual provider Active NPI

Emily A Olson, MD

  • Pediatrics Physician
  • Neenah, WI
National Provider Identifier
1437448131
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60143 Issued in WI
Practice address
640 Deerwood Ave
Neenah, WI 54956-7110
Phone
(920) 727-9982
NPI assigned
Apr 4, 2011
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60143 WI Primary

Addresses

Primary practice location

640 Deerwood Ave
Neenah, WI 54956-7110

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (715) 256-3000

Other practice location 1

710 Riverside Dr
Waupaca, WI 54981-1941
Phone (715) 256-3000

Other practice location 2

740 Deerwood Ave
Neenah, WI 54956-1601
Phone (920) 751-9600

Other identifiers 1

IdentifierTypeStateIssuer
1437448131MedicaidWI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623000099 WI Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9032333687 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60143WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 1, 2023 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Feb 12, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2014 Accepting new patients

Locations

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

740 Deerwood Ave
Neenah, WI 54956
Phone (920) 751-9600

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

710 Riverside Dr
Waupaca, WI 54981
Phone (715) 256-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: eolson336257@direct.thedacare.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1437448131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "715-256-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DEERWOOD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549567110",
            "telephone_number": "920-727-9982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811941",
            "country_code": "US",
            "telephone_number": "715-256-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Deerwood Ave",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549561601",
            "country_code": "US",
            "telephone_number": "920-751-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "EMILY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "60143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437448131",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.