DR. AMBER ROSE DYBDAL NIELSEN OLSON (MD) – Family Medicine Physician, NPI 1356871693
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for DR. AMBER ROSE DYBDAL NIELSEN OLSON (MD)
450 EASTVOLD AVE
ORTONVILLE, MN 562781133
Phone: (320) 839-2502
Fax: (320) 839-4048
Type: Mailing
330, North 8th Avenue East, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558052024
Phone: (218) 723-1112
Type: Location
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051951
Phone:
Type: Mailing
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone: (701) 780-1891
Type: Mailing
711 DELMORE DR
ROSEAU, MN 56751
Phone: (218) 463-1365
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: 2020-10-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201005002787 | I | Family Practice | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 56278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Emergency Medicine | MO | |
| Family Practice | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | ND | |
| Family Practice | MN | |
| - | SD | |
| Family Practice | ND | |
| - | MN |
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