KATHLEEN OLSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023459005

KATHLEEN OLSEN (CRNA) is a healthcare provider. based in Palos heights, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209012168 (IL). The NPI Number for KATHLEEN OLSEN (CRNA) is 1023459005

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN OLSEN (CRNA)
NPI
1023459005
Phone
(773) 848-8487
Address
12712 S 74TH AVE
Enumeration Date
8 July 2013
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734459696
Graduation Year
2013 (13 years ago)
PAC ID
1456586932
Group Practice PAC ID
4284605171
Professional Enrollment ID
I20160401000941
Address ID
IL606386625BE7456XRDXX427
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for KATHLEEN OLSEN (CRNA)

  • 12712 S 74TH AVE

    PALOS HEIGHTS, IL 604632058

    Phone: (773) 848-8487

    Type: Mailing

  • 2000 E LAMAR BLVD

    SUITE 400

    ARLINGTON, TX 760067346

    Phone: (773) 848-8487

    Type: Location

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4000

    Fax: (708) 923-8848

    Type: Mailing

  • 8420 W BRYN MAWR AVE STE 300

    CHICAGO, IL 606313436

    Phone: (773) 756-5780

    Fax: (773) 714-1353

    Type: Location

  • PO BOX 443

    BEDFORD PARK, IL 604990443

    Phone: (773) 756-5780

    Fax: (773) 714-1353

    Type: Mailing

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: 2016-04-01

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
I20160401000941ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope8180$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
01402Anesthesia for procedure for total knee joint replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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Provider's Procedures

KATHLEEN OLSEN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETTX00790Anesthesia for procedure in upper abdomen including use of an endoscope2424

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: 4284605171View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YDC
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIN
-IL
-IL

Reviews

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Frequently asked questions

Is there an official ID for KATHLEEN OLSEN (CRNA) in U.S. healthcare records?
The official identifier for KATHLEEN OLSEN (CRNA) is NPI 1023459005.
Is KATHLEEN OLSEN (CRNA) shown as active in public data?
Registry records indicate KATHLEEN OLSEN (CRNA) maintains an active NPI.
What expertise is attributed to KATHLEEN OLSEN (CRNA)?
KATHLEEN OLSEN (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHLEEN OLSEN (CRNA)?
Directory geography for KATHLEEN OLSEN (CRNA) centers on Palos Heights, Illinois.
When was this NPI issued?
Enumeration for KATHLEEN OLSEN (CRNA) is noted as July 8, 2013 where the registry provides it.

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