Individual provider Active NPI

Teresea Olson, PA-C

  • Physician Assistant
  • Glendive, MT
National Provider Identifier
1912004045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
183 Issued in MT
Practice address
202 Prospect Dr
Glendive, MT 59330-1943
Phone
(406) 345-3306
Fax
(406) 345-3358
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 183 MT Primary

Addresses

Primary practice location

202 Prospect Dr
Glendive, MT 59330-1943

Mailing address

202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20050210000670 MT Practitioner - Physician Assistant 3173575800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc CurrentSince Jan 8, 2024 Accepting new patients
Glendive Medical Center, Inc CurrentSince Dec 5, 2014 Accepting new patients
Glendive Medical Center, Inc CurrentSince Dec 5, 2014 Accepting new patients
Dawson County Family Planning Past Accepting new patients
Glendive Medical Center, Inc Past Accepting new patients
County of Dawson Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

107 Dilworth St
Glendive, MT 59330
Phone (406) 345-8900

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

Interoperability endpoints

  • Direct secure messaging: tolson@gmc.cernerdirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912004045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3306",
            "fax_number": "406-345-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROSPECT DR",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301943",
            "telephone_number": "406-345-3306",
            "fax_number": "406-345-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TERESEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendive, MT

Sources for this page

Verify at the official NPI Registry.