Lisa L Olson, MD
Individual provider Active NPI Family Medicine Physician · Wisconsin Rapids, WI
NPI 1831101153 · NPPES record last updated Dec 12, 2012
Key facts
- NPI
- 1831101153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 40912 (WI)
- Practice address
- 2031 Peach St
Wisconsin Rapids, WI 54494-5181 - Phone
- (715) 423-0122
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Riverview Hospital and Clinics Inc
Practice addresses (Care Compare)
2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060
419 N Oak St
Adams, WI 53910-9401
Phone (608) 339-5250
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750
Hospital & facility affiliations
- Aspirus at Home
- Aspirus at Home
- Aspirus Riverview Hospital & Clinics Inc
- Mile Bluff Medical Center
- Aspirus Wausau Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Quality
- 87.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051118000493 | WI | Practitioner - Family Practice | 9436140621 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40912 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Family Medicine | Current |
Accepting new patients |
| Aspirus Wausau Hospital, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331
2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40912 | WI | Yes |
Addresses
Primary practice location
2031 Peach St
Wisconsin Rapids, WI 54494-5181
Mailing address
2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32535100 | Medicaid | WI |
Other providers in Wisconsin Rapids, WI
- Karlyn Oleson-Hall
- Ann L Oligney
- Alyssa Gayle Olson
- Gary B Olson
- Kristin Olson
- Katie Marie Omernik
- Opportunity Development Centers, Inc.
- Ortiz Family and Co LLC
- Maria Elizabeth Osowski
- Roger Dale Pagel
All providers in Wisconsin Rapids, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2012. 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.