CHARLES S OLSEN (DO) – Family Medicine Physician, NPI 1821007451

CHARLES S OLSEN (DO) is a healthcare provider. based in Gladstone, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101013811 (MI). The NPI Number for CHARLES S OLSEN (DO) is 1821007451

Main info

Male
28 Years Of Experience
Name
CHARLES S OLSEN (DO)
NPI
1821007451
Phone
(906) 428-4084
Address
128 MICHIGAN AVE
Enumeration Date
5 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
9436059342
Professional Enrollment ID
I20040108001047
Address ID
MI498294213ES3409XSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for CHARLES S OLSEN (DO)

  • OSF Saint Francis Medical Group, 128, Michigan Avenue, Gladstone, Delta County, Michigan, 49837, United States

    GLADSTONE, MI 498371929

    Phone: (906) 428-4084

    Fax: (906) 428-1881

    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)

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: 2004-01-08

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
I20040108001047IFamily PracticeMITBD

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 49837)

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Reviews

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Frequently asked questions

Is there an official ID for CHARLES S OLSEN (DO) in U.S. healthcare records?
The official identifier for CHARLES S OLSEN (DO) is NPI 1821007451.
Is CHARLES S OLSEN (DO) still an active registrant?
CHARLES S OLSEN (DO) carries an active NPI according to the public dataset.
What expertise is attributed to CHARLES S OLSEN (DO)?
CHARLES S OLSEN (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is CHARLES S OLSEN (DO) registered?
Use Gladstone, Michigan as the headline location for CHARLES S OLSEN (DO) here.
Does CHARLES S OLSEN (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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