Active NPI
Erik Olson, NP
- Acute Care Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209031123
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (888) 824-0200
- NPI assigned
- Aug 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704351690 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 209031123 | IL | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 71014328A | IN |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-6592
Other practice location 1
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone (574) 647-5875
Other practice location 2
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 985-4632
Other practice location 3
830 W High St Ste 360
Lima, OH 45801-3985
Phone (419) 227-7117
Other practice location 4
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 985-4632
Other practice location 5
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone (574) 389-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300081566 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
621 Memorial Dr
Suite 502
South Bend, IN 46601-1075
Phone (574) 647-5875
Hospital & facility affiliations
- Memorial Hospital of South Bend
- The University of Chicago Medical Center
- Franciscan Health Michigan City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704351690 | MI | MD | Nurse Practitioner |
| 209031123 | IL | MD | Acute Care Nurse Practitioner |
| 71014328A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
500 Arcade Ave
Ste 210
Elkhart, IN 46514
Phone (574) 389-5656
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
621 Memorial Dr
Ste 502
South Bend, IN 46601
Phone (574) 234-9001
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- eolson1492403@epic00.corewelldirect.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Trauma Surgery Physician
- South Bend, IN
- NPI 1174927131
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1831867555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "888-824-0200"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr Ste 502",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011075",
"country_code": "US",
"telephone_number": "574-647-5875",
"fax_number": "574-647-5878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-985-4632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 W High St Ste 360",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458013985",
"country_code": "US",
"telephone_number": "419-227-7117",
"fax_number": "419-227-2848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 N Saint Joseph Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "MI",
"postal_code": "491202207",
"country_code": "US",
"telephone_number": "269-985-4632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142485",
"country_code": "US",
"telephone_number": "574-389-5656",
"fax_number": "574-523-7891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "ERIK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-30",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704351690",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209031123",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71014328A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300081566",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.