Individual provider Active NPI

Kelly Elise Olsen, PA-C

  • Physician Assistant
  • Aurora, IL
National Provider Identifier
1740702927
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006320 Issued in IL
Practice address
2111 Ogden Ave
Aurora, IL 60504-7597
Phone
(630) 978-3800
Fax
(630) 862-3085
NPI assigned
Jul 10, 2017
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA12627 TX
Physician Assistant 363A00000X 085006320 IL Primary

Addresses

Primary practice location

2111 Ogden Ave
Aurora, IL 60504-7597

Mailing address

2000 Ogden Ave Ste P050
Aurora, IL 60504-7222
Phone (630) 499-2404

Other practice location 1

800 5th Ave Ste 500
Fort Worth, TX 76104-7304
Phone (817) 250-4280

Other names 1

  • Kelly Elise Lahr Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kolsen1471796@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20170911002411 IL Practitioner - Physician Assistant 4183997398 Reassigns benefits to 2 organizations
I20190604002655 TX Practitioner - Physician Assistant 4183997398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

1604 Hospital Pkwy
Bedford, TX 76022-6932

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085006320ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jan 15, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince May 13, 2019 Accepting new patients
Texas Health Physicians Group CurrentSince May 13, 2019 Accepting new patients
Rush University Medical Center CurrentSince Jan 15, 2026 Accepting new patients

Locations

1320 N Highland Ave
Ste B
Aurora, IL 60506
Phone (630) 892-4286

2000 Ogden Ave
Ste P50
Aurora, IL 60504

2111 Ogden Ave
Aurora, IL 60504
Phone (630) 978-3800

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1100 W Veterans Pkwy
Ste 1
Yorkville, IL 60560
Phone (630) 553-3000

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1604 Hospital Pkwy
Ste 403
Bedford, TX 76022
Phone (817) 354-9545

1325 Pennsylvania Ave
Ste 890
Ft Worth, TX 76104
Phone (817) 250-4280

800 5th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 250-4280

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: kolsen1471796@direct.texashealth.org

Organizations & group practices 5

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1740702927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE STE P050",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-499-2404",
            "fax_number": "630-499-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047597",
            "telephone_number": "630-978-3800",
            "fax_number": "630-862-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047304",
            "country_code": "US",
            "telephone_number": "817-250-4280",
            "fax_number": "817-250-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KELLY",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12627",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kolsen1471796@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1604 Hospital Pkwy Ste 403",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760226932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LAHR",
            "middle_name": "ELISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.