DR. MICHELLE M OLSON (MD) – Colon & Rectal Surgery Physician, NPI 1366405102

DR. MICHELLE M OLSON (MD) is a healthcare provider. based in Dallas, Texas. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. MD424639 (PA). The NPI Number for DR. MICHELLE M OLSON (MD) is 1366405102

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE M OLSON (MD)
NPI
1366405102
Phone
(214) 943-1171
Address
221 W. Colorado Blvd.
Enumeration Date
11 April 2006
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2149432200
Graduation Year
1999 (27 years ago)
PAC ID
4981630613
Group Practice PAC ID
9931001567
Professional Enrollment ID
I20221213000684
Address ID
TX752082316DA221XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

229 COLORECTAL SURGERY (PROCTOLOGY) in TX

Provider Addresses for DR. MICHELLE M OLSON (MD)

  • 221 W. Colorado Blvd.

    Pavilion II Suite 431

    Dallas, TX 75208

    Phone: (214) 943-1171

    Fax: (972) 298-2148

    Type: Location

  • 122 W COLORADO BLVD

    DALLAS, TX 752082382

    Phone: (214) 947-6700

    Fax: (214) 947-6701

    Type: Mailing

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 61801

    Phone: (217) 383-6792

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($105).

Total Amount

$339

General + Research + Ownership

Payments

9

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2022-12-13

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
I20221213000684IColorectal Surgery (Proctology)TXTBD

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 75208)

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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: 9931001567View full group profile
NameSpecialtyState
General SurgeryTX
Internal Medicine, Pediatric MedicineTX
Physician AssistantNC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHELLE M OLSON (MD)?
The federal identifier for DR. MICHELLE M OLSON (MD) is NPI 1366405102.
Is DR. MICHELLE M OLSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MICHELLE M OLSON (MD)?
The page reflects Colon & Rectal Surgery Physician for DR. MICHELLE M OLSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MICHELLE M OLSON (MD)?
The snapshot lists Dallas, Texas for DR. MICHELLE M OLSON (MD); download NPPES for the complete set.
Is DR. MICHELLE M OLSON (MD) a real provider?
This page reflects official NPPES data for NPI 1366405102. Always confirm identity and privileges with the practice and licensing boards.

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