Individual provider Active NPI

John Olafson, NP

  • Family Nurse Practitioner
  • Big Lake, MN
National Provider Identifier
1477307973
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12132 Issued in MN
Practice address
21475 205TH St NW
Big Lake, MN 55309-8117
Phone
(320) 828-3631
NPI assigned
Apr 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 12132 MN Primary

Addresses

Primary practice location

21475 205TH St NW
Big Lake, MN 55309-8117

Mailing address

21475 205TH St NW
Big Lake, MN 55309-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250515001210 MN Practitioner - Nurse Practitioner 9234657008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew J Will MD PAGroup PAC ID 9830152495, 36 clinicians

Practice addresses (Care Compare)

683 Bielenberg Dr
Suite 103
Woodbury, MN 55125-1711
Phone (952) 841-2345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12132MNMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Will MD PA CurrentSince Mar 9, 2025 Accepting new patients
Andrew J Will MD PA Single Specialty Current Accepting new patients
Andrew J Will MD PA Single Specialty CurrentSince Mar 9, 2025 Accepting new patients

Locations

14551 County Road 11
Ste 110
Burnsville, MN 55337
Phone (952) 222-1818

14551 County Road 11
Ste 100
Burnsville, MN 55337
Phone (952) 260-1381

584 Bavaria Ln
Chaska, MN 55318

12000 Elm Creek Blvd N
Ste 300
Maple Grove, MN 55369

7235 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3502

1725 Legacy Pkwy E
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

683 Bielenberg Dr
Ste 103
Woodbury, MN 55125
Phone (651) 731-0505

Interoperability endpoints

  • Direct secure messaging: john.olafson.p1@direct.tcpain.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1477307973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 205TH ST NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 205TH ST NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098117",
            "telephone_number": "320-828-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAFSON",
        "first_name": "JOHN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, MN

Sources for this page

Verify at the official NPI Registry.