Individual provider Active NPI

Joanne K Olsen, APN

  • Family Nurse Practitioner
  • Mine Hill, NJ
National Provider Identifier
1992117212
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR11621400 Issued in NJ
Practice address
195 US Highway 46
Mine Hill, NJ 07803-3163
Phone
(973) 204-5042
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR11621400 NJ Primary

Addresses

Primary practice location

195 US Highway 46
Mine Hill, NJ 07803-3163

Mailing address

PO Box 452
Boonton, NJ 07005-0452

Other names 1

  • Joanne K Haakonsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20141231000300 NJ Practitioner - Nurse Practitioner 4082937842 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR11621400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Pathology Associates PLLC Current Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Jul 1, 2023 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 10, 2022 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 10, 2022 Accepting new patients
Vital Medical Forces of Dover PC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

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, 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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1992117212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070050452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-204-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JOANNE",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR11621400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "HAAKONSEN",
            "middle_name": "K",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.