NPIMap

Individual provider Active NPI

Grant Olsen, CNP

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1750986550
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027721 Issued in OH
Practice address
25501 Chagrin Blvd Ste 200
Beachwood, OH 44122-5603
Phone
(844) 746-8537
Fax
(216) 450-1810
NPI assigned
Dec 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027721 OH
Nurse Practitioner 363L00000X APRN.CNP.0027721 OH Primary

Addresses

Primary practice location

25501 Chagrin Blvd Ste 200
Beachwood, OH 44122-5603

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201217002447 OH Practitioner - Nurse Practitioner 3870905771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25501 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5603
Phone (844) 746-8537

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Dec 10, 2020 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Dec 10, 2020 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

25501 Chagrin Blvd
#200
Beachwood, OH 44122
Phone (440) 306-3200

25501 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (440) 296-5915

112 Independence Way
Ste 150
Clyde, OH 43410
Phone (419) 547-2810

629 Bartson Rd
Fremont, OH 43420
Phone (419) 355-9800

280 Benedict Ave
#B
Norwalk, OH 44857
Phone (419) 663-5000

611 Fulton St
Ste G
Port Clinton, OH 43452
Phone (419) 660-0099

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Ste 110
Sandusky, OH 44870
Phone (419) 502-3526

Interoperability endpoints

  • Direct secure messaging: golsen20596@nomshealthcare.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1750986550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 CHAGRIN BLVD STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225603",
            "telephone_number": "844-746-8537",
            "fax_number": "216-450-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.