Individual provider Active NPI

Maribeth Olson, PA-C

  • Physician Assistant
  • Madison, MN
National Provider Identifier
1598075970
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11011 Issued in MN
Practice address
900 2ND Ave
Madison, MN 56256-1006
Phone
(320) 598-7536
NPI assigned
Oct 19, 2010
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11011 MN Primary

Addresses

Primary practice location

900 2ND Ave
Madison, MN 56256-1006

Mailing address

900 2ND Ave
Madison, MN 56256
Phone (320) 598-7551

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
I20120322000121 MN Practitioner - Physician Assistant 9032379458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Healthcare ServicesGroup PAC ID 9638080187, 29 clinicians
Lac Qui Parle Clinic of Madison IncGroup PAC ID 5799727707, 15 clinicians

Practice addresses (Care Compare)

820 3Rd Ave
Madison, MN 56256-1014
Phone 32059875517551

900 2ND Ave
Madison, MN 56256-1006
Phone 32059875517158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Healthcare Services CurrentSince Jul 4, 2016 Accepting new patients

Locations

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

Interoperability endpoints

  • Direct secure messaging: molson323226@direct.centracare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1598075970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "56256",
            "telephone_number": "320-598-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561006",
            "telephone_number": "320-598-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARIBETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MN

Sources for this page

Verify at the official NPI Registry.