Individual provider Active NPI

Jessica Lyn Olsen, CNM

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1609305044
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11004266 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 841-5281
Fax
(407) 648-9879
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 730 NM
Advanced Practice Midwife 367A00000X APRN11004266 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-5281

Other identifiers 1

IdentifierTypeStateIssuer
104605700MedicaidFL

Other names 1

  • Ms. Jessica L Herrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170727003498 NM Practitioner - Certified Nurse Midwife (CNM) 3577833201 Reassigns benefits to 1 organization
I20191122000103 FL Practitioner - Certified Nurse Midwife (CNM) 3577833201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
730NMMDAthletic Trainer
APRN11004266FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Jun 19, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 5, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 5, 2022 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

2520 S Telshor Blvd
Ste A
Las Cruces, NM 88011

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jolsen27551@orlandohealth.medalliesdirect.net

Organizations & group practices 7

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1609305044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "407-648-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "407-648-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "730",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11004266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104605700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HERRERA",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.