Individual provider Active NPI

Amy Jo Olson, RN, APNP, FNP-BC

  • Family Nurse Practitioner
  • Franklin, WI
National Provider Identifier
1477522100
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5660-33 Issued in WI
Practice address
6580 S 46TH St
Franklin, WI 53132-8153
Phone
(414) 421-0276
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 144471-030 WI
Family Nurse Practitioner 363LF0000X 5660-33 WI Primary

Addresses

Primary practice location

6580 S 46TH St
Franklin, WI 53132-8153

Mailing address

6580 S 46TH St
Franklin, WI 53132-8153
Phone (414) 758-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20140325000735 WI Practitioner - Nurse Practitioner 9931330545 Reassigns benefits to 1 organization
I20260514004114 MN Practitioner - Nurse Practitioner 9931330545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144471-030WIMDRegistered Nurse
5660-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Quick Care, LLC CurrentSince Mar 24, 2014 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1415 Lawrence Dr
#1
De Pere, WI 54115
Phone (920) 339-4328

12500 W Bluemound Rd
Ste 201
Elm Grove, WI 53122
Phone (262) 787-2114

10932 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-0169

607 Tyler Ave
Omro, WI 54963
Phone (920) 685-7400

9201 Washington Ave
Racine, WI 53406
Phone (262) 504-5471

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1477522100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 S 46TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328153",
            "telephone_number": "414-758-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 S 46TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328153",
            "telephone_number": "414-421-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "RN, APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "144471-030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5660-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.