Active NPI
Kelly Erin Olson, PA-C
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA.PA.70083254 | Other | WA | STATE LICENSE |
| 57237 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 100
- Quality
- 31.85
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.38 of 100
- Quality
- 84.62
- Improvement activities
- 40
- Cost
- 51.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.76 of 100
- Quality
- 90.68
- Improvement activities
- 40
- Cost
- 51.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Orthopedics Medical Group, Inc. | Current | Accepting new patients | |
| Ventura Orthopedics Medical Group, Inc. | Current | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Simi Valley, CA
- NPI 1043531346
-
dba Erik C. Spayde, M.D.
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1790717965
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
WA
-
- Physical Medicine & Rehabilitation Physician
- Thousand Oaks, CA
- NPI 1780377283
-
dba Ventura Orthopedics
- Specialist
- Simi Valley, CA
- NPI 1164195707
-
dba Ventura Orthopedics
- Specialist
- Oxnard, CA
- NPI 1790248508
-
- Orthopaedic Surgery of the Spine Physician
- Thousand Oaks, CA
- NPI 1912369893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.