Individual provider Active NPI

Dawn Marie Olsen, D.O.

  • Vascular Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1902807852
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
007393 Issued in AZ
Practice address
3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812
Phone
(602) 374-4101
Fax
(602) 441-0522
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 007393 AZ Primary

Addresses

Primary practice location

3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812

Mailing address

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other practice location 1

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other identifiers 1

IdentifierTypeStateIssuer
284618MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001505 AZ Practitioner - Vascular Surgery 9335194653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Vein and Endovascular LLCGroup PAC ID 1951550888, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 561-7228

2204 S Dobson Rd
Suite 201
Mesa, AZ 85202-6457
Phone (602) 374-4101

222 S Summit Ave
Suite 3
Prescott, AZ 86303-3780
Phone (928) 250-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal55
Leg revascularization (restoring blood flow)31
Removal of tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2292AZMDProfessional Counselor
007393AZMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Vein and Endovascular LLC Vascular Surgery CurrentSince Feb 3, 2025 Accepting new patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Sep 1, 2017 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Feb 3, 2025 Accepting new patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Sep 1, 2017 Accepting new patients
Ahi Cardiovascular Surgeons LTD Vascular Surgery Past Accepting new patients

Locations

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410

7165 E University Dr
Ste 183
Mesa, AZ 85207

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

7165 E University Dr
Ste 187
Mesa, AZ 85207
Phone 4806685000 ext. 316

708 S Coeur D Alene Ln
Ste B
Payson, AZ 85541
Phone (928) 468-8603

9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382

9192 W Union Hills Dr
Peoria, AZ 85382

9192 W Union Hills Dr
Ste 103
Peoria, AZ 85382

3600 N 3rd Ave
Ste B
Phoenix, AZ 85013
Phone (602) 476-0800

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

333 W Thomas Rd
Ste 208
Phoenix, AZ 85013

333 W Thomas Rd
Ste 208A
Phoenix, AZ 85013
Phone (480) 300-4646

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: dawn.olsen.p1@direct.wvi.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1902807852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828208",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9192 W Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828208",
            "country_code": "US",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "007393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.