NPIMap

Individual provider Active NPI

Grant Joseph Olsen, M.D.

  • Internal Medicine Physician
  • Seymour, IN
National Provider Identifier
1750590550
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01064374A Issued in IN
Practice address
225 S Pine St FL 2
Seymour, IN 47274-2365
Phone
(812) 524-4265
Fax
(812) 524-4269
NPI assigned
May 21, 2007
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 01064374A IN Primary

Addresses

Primary practice location

225 S Pine St FL 2
Seymour, IN 47274-2365

Mailing address

225 S Pine St FL 2
Seymour, IN 47274-2365
Phone (812) 524-4265

Other identifiers 1

IdentifierTypeStateIssuer
200883280MedicaidIN

Other names 1

  • Dr. Grant Joseph Olsen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080114000562 IN Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 9335220532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064374AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Oct 5, 2007 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Oct 5, 2007 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Coordinated Health LLC Past Accepting new patients

Locations

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

225 S Pine St
Seymour, IN 47274
Phone (812) 524-3330

225 S Pine St
Fl 2
Seymour, IN 47274
Phone (812) 523-7466

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

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 5

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1750590550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PINE ST FL 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-524-4265",
            "fax_number": "812-524-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST FL 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742365",
            "telephone_number": "812-524-4265",
            "fax_number": "812-524-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "GRANT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064374A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200883280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRANT",
            "last_name": "OLSEN",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.