Kayla L Olson, PA-C
Individual provider Active NPI Medical Physician Assistant · Grand Forks, ND
NPI 1770968232 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1770968232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PAC0606 (ND)
- Practice address
- 1300 S Columbia Rd
Grand Forks, ND 58201 - Phone
- (701) 780-2300
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Altru Health System
Northwood Deaconess Health Center
Practice addresses (Care Compare)
1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
164 W 13TH St
Grafton, ND 58237-1826
Phone (701) 780-6000
4 N Park St
Northwood, ND 58267-4102
Phone (701) 587-6060
400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100
711 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-1365
715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500
Hospital & facility affiliations
- Altru Hospital
- Northwood Deaconess Health Center
- Unity Medical Center
- Lifecare Medical Center
- Riverview Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812008649 | ND | Practitioner - Physician Assistant | 1153636659 | Reassigns benefits to 3 organizations |
| I20160208000951 | MN | Practitioner - Physician Assistant | 1153636659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current |
Accepting new patients | |
| Northwood Deaconess Health Center | Current |
Accepting new patients | |
| Northwood Deaconess Health Center | Current |
Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500
1845 US Highway 59 SE
Ste 800
Thief River Falls, MN 56701
Phone (218) 681-7280
412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020
201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338
301 Mountain St E
Ste A
Cavalier, ND 58220
Phone (701) 265-4196
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PAC0606 | ND | Yes |
Addresses
Primary practice location
1300 S Columbia Rd
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other names
- Kayla L Stone
Other providers in Grand Forks, ND
- Genevieve Olson
- Janelle Lea Olson
- Jeffrey Olson
- Jessica Olson
- Joann J Olson
- Kimberly Diane Olson
- Kristie Olson
- Laura Olson
- Neil I Olson
- Robert A Olson
All providers in Grand Forks, ND · Medical Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.