Individual provider Active NPI

Deana Lynn Olsen, APRN FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1447802970
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142229 Issued in TX
Practice address
521 N Thompson St
Conroe, TX 77301-2541
Phone
(832) 957-6200
Fax
(281) 895-3083
NPI assigned
Jul 15, 2019
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 AP142229 TX Primary

Addresses

Primary practice location

521 N Thompson St
Conroe, TX 77301-2541

Mailing address

521 N Thompson St
Conroe, TX 77301-2541
Phone (832) 957-6200

Other identifiers 1

IdentifierTypeStateIssuer
AP142229OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210921002167 TX Practitioner - Nurse Practitioner 1456758234 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Aug 1, 2021 Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Aug 1, 2021 Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2021 Accepting new patients
Nluc PLLC Current Accepting new patients
Kelsey-Seybold Medical Group, PLLC PastSince Aug 1, 2023 Accepting new patients
My Doctor, P.a. PastSince Jul 25, 2019 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

9511 FM 1488 Rd
Ste 1100
Magnolia, TX 77354

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

25750 Kuykendahl Rd
Ste A
Tomball, TX 77375
Phone (281) 826-1827

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1447802970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N THOMPSON ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012541",
            "telephone_number": "832-957-6200",
            "fax_number": "281-895-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N THOMPSON ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012541",
            "telephone_number": "832-957-6200",
            "fax_number": "281-895-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DEANA",
        "middle_name": "LYNN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP142229",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.