Active NPI
Ryan Anthony Olsen, P.A.
- Physician Assistant
- Edina, MN
National Provider Identifier
1477516649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9779
- Practice address
- 8100 W 78TH St
Suite 100
Edina, MN 55439-2516 - Phone
- (952) 914-8100
- Fax
- (952) 914-8501
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9779 | MN | Primary |
Addresses
Primary practice location
8100 W 78TH St
Suite 100
Edina, MN 55439-2516
Mailing address
8100 W 78TH St
Suite 100
Edina, MN 55439-2516
Phone (952) 445-0077
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132079 | Other | MN | UCARE |
| 2276559 | Other | MN | AMERICAS PPO |
| HP48635 | Other | MN | HEALTHPARTNERS |
| P00113560 | Other | MN | RAILROAD MEDICARE |
| 1032303 | Other | MN | PREFERRED ONE |
| 0112116 | Other | MN | MEDICA |
| 670131100 | Medicaid | MN | |
| O22L40L | Other | MN | BLUE CROSS/SHIELD |
| 0112116 | Other | MN | SELECT CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rolsen87003@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopaedic Specialists, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Edina, MN
- NPI 1194751552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1477516649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 W 78TH ST",
"address_2": "SUITE 100",
"city": "EDINA",
"state": "MN",
"postal_code": "554392516",
"telephone_number": "952-445-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 W 78TH ST",
"address_2": "SUITE 100",
"city": "EDINA",
"state": "MN",
"postal_code": "554392516",
"telephone_number": "952-914-8100",
"fax_number": "952-914-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "RYAN",
"middle_name": "ANTHONY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "132079",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "2276559",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP48635",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00113560",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1032303",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0112116",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "670131100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "O22L40L",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "0112116",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rolsen87003@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "8100 W 78th St",
"address_2": "Suite 100",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554392516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.