Active NPI
Nicholas J Olson, MD
- Radiation Oncology Physician
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD45567
- Practice address
- 1111 Duff Avenue
Ames, IA 50010-3014 - Phone
- (515) 239-2411
- Fax
- (515) 956-2714
- NPI assigned
- Apr 11, 2013
- Last updated
- Sep 12, 2018
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD45567 | IA | Primary |
Addresses
Primary practice location
1111 Duff Avenue
Ames, IA 50010-3014
Mailing address
1215 Duff Avenue
Ames, IA 50010-3014
Phone (515) 239-2411
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD45567 | IA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Carris Health LLC | Radiation Oncology | Current | Accepting new patients |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
Interoperability endpoints
- nolson738779@direct.centracare.com
Organizations & group practices 14
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.
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
Radiation Oncology
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
dba CentraCare Health - Melrose Hospital
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
dba CentraCare Health - Monticello Hospital
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
dba CentraCare - Monticello Specialty Clinic
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1427684612
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1407858020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1558704338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 DUFF AVENUE",
"city": "AMES",
"state": "IA",
"postal_code": "500103014",
"telephone_number": "515-239-2411",
"fax_number": "515-956-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DUFF AVENUE",
"city": "AMES",
"state": "IA",
"postal_code": "500103014",
"telephone_number": "515-239-2411",
"fax_number": "515-956-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IA",
"license": "MD45567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.