Individual provider Active NPI

Jennalee Ann Olsen, CNP

  • Family Nurse Practitioner
  • Plankinton, SD
National Provider Identifier
1629590765
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP001236 Issued in SD
Practice address
106 N Main St
Plankinton, SD 57368-2015
Phone
(605) 942-7711
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP001236 SD Primary

Addresses

Primary practice location

106 N Main St
Plankinton, SD 57368-2015

Mailing address

38922 243Rd St
Plankinton, SD 57368-5301
Phone (605) 680-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20170831002303 SD Practitioner - Nurse Practitioner 9032482773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hometown Family Health PLLCGroup PAC ID 4284019381, 3 clinicians

Practice addresses (Care Compare)

408 S Johnston St
White Lake, SD 57383-2255
Phone (605) 249-2216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001236SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Family Health PLLC Family CurrentSince Mar 23, 2022 Accepting new patients
Aurora Brule Nursing Home, Inc. PastSince Jul 4, 2022 Accepting new patients

Locations

408 S Johnston St
White Lake, SD 57383
Phone (605) 249-2216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26394/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennalee.olsen.1@26394.direct.athenahealth.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 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1629590765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38922 243RD ST",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "573685301",
            "telephone_number": "605-680-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "573682015",
            "telephone_number": "605-942-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JENNALEE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plankinton, SD

Sources for this page

Verify at the official NPI Registry.