Individual provider Active NPI

Amy Olmschenk, D.O.

  • Family Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1912327297
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59957 Issued in MN
Practice address
1555 Northway Dr
Ste. 200
Saint Cloud, MN 56303-4555
Phone
(320) 240-3157
Fax
(320) 240-3165
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59957 MN Primary

Addresses

Primary practice location

1555 Northway Dr
Ste. 200
Saint Cloud, MN 56303-4555

Mailing address

1406 6TH Avenue North
Saint Cloud, MN 56303-1901
Phone (320) 251-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160121001892 MN Practitioner - Family Practice 7416250600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians

Practice addresses (Care Compare)

1200 6TH Ave N
Saint Cloud, MN 56303-2735

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

12800 Rolling Ridge Rd
Becker, MN 55308-8838
Phone (763) 261-7000

1406 6TH Ave N
St Cloud, MN 56303-1901

1406 6TH Ave No
St Cloud, MN 56303-1901

1555 Northway Dr
100 Centra Care Clinic Northway Family
St Cloud, MN 56303-1258
Phone (320) 251-1775

1555 Northway Dr
Suite 200
Saint Cloud, MN 56303-4913
Phone (320) 240-3157

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Centracare Health Systems Current Accepting new patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Group Health, Inc. CurrentSince Sep 15, 2016 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2020 Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2020 Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

1900 Centracare Cir
Ste 500
Saint Cloud, MN 56303
Phone (320) 229-5099

1555 Northway Dr
Ste 200
Saint Cloud, MN 56303
Phone (320) 240-3157

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

Interoperability endpoints

  • Direct secure messaging: aolmschenk188909@direct.centracare.com

Organizations & group practices 8

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 6

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1912327297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 6TH AVENUE NORTH",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700",
            "fax_number": "320-656-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NORTHWAY DR",
            "address_2": "STE. 200",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034555",
            "telephone_number": "320-240-3157",
            "fax_number": "320-240-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSCHENK",
        "first_name": "AMY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "59957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.