Individual provider Active NPI

Kelly Erin Olson, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1669027025
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2821 S Walden St
Seattle, WA 98144-6830
Phone
(312) 635-0973
Fax
(312) 635-0050
NPI assigned
Aug 2, 2019
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 NU Primary

Addresses

Primary practice location

2821 S Walden St
Seattle, WA 98144-6830

Mailing address

2821 S Walden St
Seattle, WA 98144-6830
Phone (312) 635-0973

Other practice location 1

2102 S 96th St
Tacoma, WA 98444-1753
Phone (253) 581-2514

Other identifiers 2

IdentifierTypeStateIssuer
PA.PA.70083254OtherWASTATE LICENSE
57237OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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
I20191120001992 CA Practitioner - Physician Assistant 5597197194 Reassigns benefits to 3 organizations
I20260626002865 WA Practitioner - Physician Assistant 5597197194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Chicago, IL 60674

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

Merit-based Incentive Payment System (MIPS)

Final score
79.38 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
51.77

Merit-based Incentive Payment System (MIPS)

Final score
81.76 of 100Reported as group
Quality
90.68
Improvement activities
40
Cost
51.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Sep 22, 2019 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Sep 22, 2019 Accepting new patients
St Charles Spine Institute Past Accepting new patients

Locations

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 482-5699

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

2525 Erringer Rd
Simi Valley, CA 93065
Phone (805) 527-1404

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1669027025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S WALDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446830",
            "telephone_number": "312-635-0973",
            "fax_number": "312-635-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S WALDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446830",
            "telephone_number": "312-635-0973",
            "fax_number": "312-635-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 S 96th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984441753",
            "country_code": "US",
            "telephone_number": "253-581-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KELLY",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA.PA.70083254",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "57237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.