KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE) – Registered Dietitian, NPI 1003088436

KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE) is a healthcare provider. based in Sycamore, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MHA, RD, LDN,CDE. They hold a License No. 164.003887 (IL). The NPI Number for KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE) is 1003088436

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)
NPI
1003088436
Phone
(815) 757-5417
Address
1318 FOXPOINTE DR
Enumeration Date
26 March 2008
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158385222
Graduation Year
2013 (13 years ago)
PAC ID
8527462498
Group Practice PAC ID
4385553627
Professional Enrollment ID
I20210814000458
Address ID
WI547016101EA733XXAVEX400

Contacts

Secure Messaging
kolson1450348@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

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Provider Addresses for KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)

  • 1318 FOXPOINTE DR

    SYCAMORE, IL 601783223

    Phone: (815) 757-5417

    Type: Mailing

  • 100, Symphony Way, Elgin, Kane County, Illinois, 60120, United States

    SHERMAN WELLNESS CENTER

    ELGIN, IL 601205589

    Phone: (224) 783-5450

    Type: Location

  • 3128 Catur Ln

    Eau Claire, WI 547015800

    Phone: (815) 757-5417

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050002

    Phone: (715) 838-5222

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 838-5222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210814000458IRegistered Dietitian Or Nutrition ProfessionalWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0108Diabetes outpatient self-management training services, individual, per 30 minutes214114$0
97802Therapy procedure for nutrition management, each 15 minutes5417$0
View full utilization report →

Insurance plans in this area (ZIP 60178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385553627View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)?
NPI 1003088436 is assigned to KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE) under the national enumeration system.
Is KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)'s NPI currently valid?
The extract we use shows KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE) as active.
What kind of provider is KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)?
The page reflects Registered Dietitian for KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE)?
The page summarizes Sycamore, Illinois for KATHRYN LEIGH OLSON (MHA, RD, LDN,CDE); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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