Taylor Anne Olson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085008259 Issued in IL

Practice address

10181 W Lincoln Hwy
Frankfort, IL 60423-1274

Phone

(815) 464-7212

Fax

(815) 464-7251

NPI assigned

Apr 24, 2020

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Baal Perazim Wellness and Health Services PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1376153437
  Medicare reassignment
• Baal Perazim Wellness, Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215403530
  Medicare reassignment

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1770103277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S MICHIGAN AVE APT 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231274",
            "telephone_number": "815-464-7212",
            "fax_number": "815-464-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TAYLOR",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085008259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F4007757056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Obrien
• Gregory Obrien
• Kingsley Osho Ohiku
• Terrence B Ojong
• Lindsey Marie Olson, DO
• One Health Chiropractic, LTD (New Horizons Family Chiropractic)
• Onik Family Dental PLLC
• Hannah Lynn Onnen
• Optimal Health Solutions LLC
• Orajimeto Incorporated

• Medical Physician Assistant in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.