Caitlin Olivia Olson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

24 Railroad Ave Ste 16
Ray, ND 58849-7707

Phone

(701) 568-5600

NPI assigned

Dec 20, 2020

Last updated

May 9, 2024By 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

Medicare fee-for-service enrollment

Enrolled in ND

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

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Health CentersGroup PAC ID 1557270113, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlin.olson.p1@direct.northlandchc.nextgenshare.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.

• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turtle Lake, ND
  • NPI 1558111740
  Medicare reassignment Care Compare group
• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turtle Lake, ND
  • NPI 1457435802
  NPD
• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • McClusky, ND
  • NPI 1528142981
  NPD
• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bowbells, ND
  • NPI 1174866271
  NPD (past)
• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bismarck, ND
  • NPI 1841723855
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1871189217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "585750535",
            "telephone_number": "701-448-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 RAILROAD AVE STE 16",
            "city": "RAY",
            "state": "ND",
            "postal_code": "588497707",
            "telephone_number": "701-568-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CAITLIN",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna L Hudson, PA-C
• Melissa Margaret Miesaloski, RN
• Anne-Louise Irene Morgan
• Northland Health Centers
• Northwest Therapy Services, LLC.
• Ray Community Ambulance District
• Ray Family Medical Center, PLLC
• Cheryl A Simpson, MS,CCC-SLP
• Tioga Medical Center

• Physician Assistant in Ray, ND
• Providers in Ray, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.