Individual provider Active NPI

Lisa C Olson, PA-C

  • Physician Assistant
  • Mauston, WI
National Provider Identifier
1891724365
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1040 Division St
Mauston, WI 53948-1931
Phone
(608) 847-5000
NPI assigned
Jun 30, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1040 Division St
Mauston, WI 53948-1931

Mailing address

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20060912000317 WI Practitioner - Physician Assistant 4688678386 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852

1050 Division St
Mauston, WI 53948-1931

1408 Wheelihan Ave
Necedah, WI 54646-8253
Phone (608) 565-2000

406 Gateway Ave
Mauston, WI 53948-1401
Phone (608) 847-2961

901 W Bridge St
New Lisbon, WI 53950-1083
Phone (608) 562-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Sep 22, 2011 Accepting new patients
Mile Bluff Medical Center Inc Physician Assistant Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Sep 22, 2011 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
Langlade Memorial Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

1515 Academy St
Elroy, WI 53929
Phone (608) 462-8414

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

406 Gateway Ave
Mauston, WI 53948
Phone (608) 350-0962

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1408 Wheelihan Ave
Necedah, WI 54646
Phone (608) 565-2000

901 W Bridge St
New Lisbon, WI 53950
Phone (608) 562-3111

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: lisa.olson@direct.milebluff.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1891724365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.