NPIMap

Individual provider Active NPI

Julie Kay Olson, M.D,

  • Internal Medicine Physician
  • Brainerd, MN
National Provider Identifier
1740264530
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42997 Issued in MN
Practice address
2024 S 6TH St
Brainerd, MN 56401-4529
Phone
(218) 828-7100
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42997 MN Primary

Addresses

Primary practice location

2024 S 6TH St
Brainerd, MN 56401-4529

Mailing address

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861

Other identifiers 2

IdentifierTypeStateIssuer
110208238OtherMNMEDICARE RAILROAD
068402300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000161 MN Practitioner - Internal Medicine 6103884689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polinsky Medical Rehabilitation Center 369 clinicians
St Josephs Medical Center 238 clinicians

Practice addresses (Care Compare)

1600 Miller Trunk Hwy
BLDG C
Duluth, MN 55811-5640
Phone (218) 786-5360

2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100

Hospital & facility affiliations

  • Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
  • Good Samaritan Home Health Home health agency, Nisswa, MN, CCN 248093
  • Aveanna Home Health Home health agency, Grand Rapids, MN, CCN 248068
  • Moments Hospice Hospice, Saint Cloud, MN, CCN 241608
  • St Croix Hospice Hospice, St. Cloud, MN, CCN 241620
  • Good Samaritan Society Hospice Hospice, Nisswa, MN, CCN 241581
  • Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075
  • Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353
  • Essentia Health Deer River Hospital, Deer River, MN, CCN 241360
  • Good Samaritan Society - Bethany Nursing home, Brainerd, MN, CCN 245500
  • Good Samaritan Society - Woodland Nursing home, Brainerd, MN, CCN 245488
  • Good Samaritan Society - Pine River Nursing home, Pine River, MN, CCN 245476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brainerd Medical Center Inc. CurrentSince Sep 8, 2015 Accepting new patients
St. Joseph'S Medical Center CurrentSince Sep 8, 2015 Accepting new patients
St Joseph'S Medical Center CurrentSince Sep 8, 2015 Accepting new patients
Brainerd Medical Center Inc CurrentSince Sep 8, 2015 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
St. Joseph'S Medical Center Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
#6
Duluth, MN 55805
Phone (320) 360-1676

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - BethanyBrainerd, MN, CCN 245500 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 16, 2018
Oct 16, 2018
Good Samaritan Society - WoodlandBrainerd, MN, CCN 245488 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 16, 2018
Oct 16, 2018
Good Samaritan Society - Pine RiverPine River, MN, CCN 245476 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 16, 2018
Oct 16, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1740264530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014529",
            "telephone_number": "218-828-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "42997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110208238",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068402300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.