OLIVER ELLIOTT OLSON (APRN-NP) – Nurse Practitioner, NPI 1255696597

OLIVER ELLIOTT OLSON (APRN-NP) is a healthcare provider. based in Louisville, Kentucky. specializing in Nurse Practitioner. They hold the professional credentials APRN-NP. They hold a License No. 1117485 (KY). The NPI Number for OLIVER ELLIOTT OLSON (APRN-NP) is 1255696597

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
OLIVER ELLIOTT OLSON (APRN-NP)
NPI
1255696597
Phone
(502) 472-5657
Address
3707 CHAMBERLAIN LN STE 101
Enumeration Date
12 July 2012
Last Update Date
8 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024560494
Graduation Year
2012 (14 years ago)
PAC ID
5991953671
Group Practice PAC ID
1951547108
Professional Enrollment ID
I20120921000538
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:13State licenses:4Digital endpointsOther names

Provider Addresses for OLIVER ELLIOTT OLSON (APRN-NP)

  • 3707 CHAMBERLAIN LN STE 101

    LOUISVILLE, KY 402412091

    Phone: (502) 472-5657

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $702.

Total Amount is formed as General ($702) + Research ($0) + Ownership ($0) = $702.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: ABIOMED ($442).

Total Amount

$702

General + Research + Ownership

Payments

8

Total payment records

General Amount

$702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-21

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
I20120921000538INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40241)

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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: 1951547108View full group profile
NameSpecialtyState
Nurse PractitionerKY
Geriatric Medicine, Family Practice, Family Practice, Geriatric MedicineKY
-KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for OLIVER ELLIOTT OLSON (APRN-NP)?
OLIVER ELLIOTT OLSON (APRN-NP) — NPI 1255696597 — is the standard way to identify this listing.
Is OLIVER ELLIOTT OLSON (APRN-NP) still practicing?
OLIVER ELLIOTT OLSON (APRN-NP) is currently listed as active in the public NPI registry.
What is OLIVER ELLIOTT OLSON (APRN-NP)'s primary classification?
Nurse Practitioner is the headline specialty for OLIVER ELLIOTT OLSON (APRN-NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for OLIVER ELLIOTT OLSON (APRN-NP)?
OLIVER ELLIOTT OLSON (APRN-NP)'s geographic hint is Louisville, Kentucky in our summary view.
Why does OLIVER ELLIOTT OLSON (APRN-NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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