Active NPI
Jennifer Lynn Olson, MD
- Psychiatry Physician
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME142772
- Practice address
- 455 W Warren Ave
Longwood, FL 32750-4038 - Phone
- (407) 262-2220
- Fax
- (407) 834-5011
- NPI assigned
- Oct 16, 2006
- Last updated
- Aug 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00043619 | WA | |
| Psychiatry Physician | 2084P0800X | ME142772 | FL | Primary |
Addresses
Primary practice location
455 W Warren Ave
Longwood, FL 32750-4038
Mailing address
455 W Warren Ave
Longwood, FL 32750-4038
Phone (407) 262-2220
Other practice location 1
413 Lilly Rd NE
PMG SW WA Olympia Psychiatry
Olympia, WA 98506-5133
Phone (360) 493-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118642600 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jolson606287@wm.providencedirect.org | Direct | |
| Direct Messaging Address | providerenrollment@orlandohealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Washington School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
455 W Warren Ave
Longwood, FL 32750-4038
Phone (407) 262-2220
Hospital & facility affiliations
- Orlando Health-Health Central Hospital
- Orlando Health South Lake Hospital
- Orlando Health St Cloud Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME142772 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Behavioral Health Resources | Past | Accepting new patients |
Locations
455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Interoperability endpoints
- jolson606287@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Community/Behavioral Health Agency
- Elma, WA
- NPI 1306918750
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
dba St Cloud Regional Medical Center
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1730269770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 W WARREN AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504038",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W WARREN AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504038",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
}
],
"practiceLocations": [
{
"address_1": "413 Lilly Rd NE",
"address_2": "PMG SW WA Olympia Psychiatry",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065133",
"country_code": "US",
"telephone_number": "360-493-7060",
"fax_number": "360-493-7562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00043619",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME142772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118642600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jolson606287@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "413 Lilly Rd NE",
"address_2": "PMG SW WA Olympia Psychiatry",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065133",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "providerenrollment@orlandohealth.com",
"affiliation": "N",
"address_1": "455 W Warren Ave",
"city": "Longwood",
"state": "FL",
"country_code": "US",
"postal_code": "327504038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Longwood, FL
- Corliss Yvette Oliver, M.D.
- Erika G. Oliver, ARNP
- Kayla E Oliver, M.A.
- Patricia Olsak Loch, CNA
- Sydney Anne Olsen, MA., RMHCI
- Omega Healthcare Solutions, LLC
- Omega Vision Center PA (Sabal Eye Care)
- Lydia Adebola Onatunde, ARNP
- One World Pediatrics
- Oral & Maxillofacial Surgeons of Mid-Florida (Oral & Facial Surgeons of Mid-FL)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.