Stephanie Olson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2013018075 Issued in MN

Practice address

194 Progress Way
Spicer, MN 56288-5000

Phone

(320) 640-2891

Fax

(320) 640-2842

NPI assigned

Oct 15, 2013

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Bergman Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ametrine Mental Health PLLCGroup PAC ID 4385009943, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: solson138038@direct.centracare.com

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.

• Ametrine Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spicer, MN
  • NPI 1902526437
  Medicare reassignment Care Compare group NPD
• Peterson Wellness Clinic P.a.

  dba Green Lake Chiropractic Center

  • Chiropractor
  • Spicer, MN
  • NPI 1639791932
  NPD

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1760810493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891",
            "fax_number": "320-640-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891",
            "fax_number": "320-640-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "STEPHANIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2013018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BERGMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirby Melvin Johnson, D.D.S.
• Kirby M. Johnson, D.D.S., LLC (Green Lake Dental)
• Tammie Lyn Knick, LICSW
• Jacob Kretschmar, PT, DPT
• Benjamin Marvin Olson
• Paynesville Area Hospital District (Green Lake Medical Clinic)
• Peterson Wellness Clinic P.a. (Green Lake Chiropractic Center)
• Brooke Sara Peterson, DC
• Zachary Leland Peterson, DC
• Prairie Community Services

• Psychiatric/Mental Health Nurse Practitioner in Spicer, MN
• Providers in Spicer, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.