Individual provider Active NPI

Erin Holcombe Olsen, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1750555710
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
397 Wallace Rd Ste 414
Nashville, TN 37211-8010
Phone
(615) 333-0851
Fax
(615) 333-0852
NPI assigned
Apr 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 Primary

Addresses

Primary practice location

397 Wallace Rd Ste 414
Nashville, TN 37211-8010

Mailing address

397 Wallace Rd Ste 414
Nashville, TN 37211-8010
Phone (615) 333-0851

Other identifiers 1

IdentifierTypeStateIssuer
3665226MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ERIN.OLSEN@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000194 TN Practitioner - Physician Assistant 1153490354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

1001 Health Park Dr
Suite 509
Brentwood, TN 37027-5752
Phone (615) 515-1900

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

397 Wallace Rd
414 Building C
Nashville, TN 37211-8010
Phone (615) 333-0851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.54
Promoting interoperability
99
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1588TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Physician Assistant CurrentSince Aug 5, 2024 Accepting new patients
Centennial Neuroscience, LLC Past Accepting new patients

Locations

4071 Cane Ridge Pkwy
Ste 201B
Antioch, TN 37013
Phone (615) 333-0851

1001 Health Park Dr
Ste 509
Brentwood, TN 37027
Phone (615) 342-6840

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

397 Wallace Rd
Ste 414
Nashville, TN 37211
Phone (615) 333-0851

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Interoperability endpoints

  • Direct secure messaging: erin.holcombe@hca1.eclinicaldirectplus.com
  • Direct secure messaging: erin.olsen@hca1.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1750555710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118010",
            "telephone_number": "615-333-0851",
            "fax_number": "615-333-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118010",
            "telephone_number": "615-333-0851",
            "fax_number": "615-333-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ERIN",
        "middle_name": "HOLCOMBE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3665226",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERIN.OLSEN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 Stonecrest Blvd",
            "address_2": "SUITE 110",
            "city": "Smyrna",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371675688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.