LISA MARIE OLSON (DNP, FNP) – Family Nurse Practitioner, NPI 1386321677

LISA MARIE OLSON (DNP, FNP) is a healthcare provider. based in Longview, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP. They hold a License No. AP61542793 (WA). The NPI Number for LISA MARIE OLSON (DNP, FNP) is 1386321677

Main info

Female
3 Years Of Experience
Name
LISA MARIE OLSON (DNP, FNP)
NPI
1386321677
Phone
(360) 353-5511
Address
1057 12TH AVE
Enumeration Date
29 June 2023
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603535511
Graduation Year
2023 (3 years ago)
PAC ID
4183079924
Group Practice PAC ID
5991696395
Professional Enrollment ID
I20240801002444
Address ID
WA986262304KE300XXBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for LISA MARIE OLSON (DNP, FNP)

  • 1057 12TH AVE

    LONGVIEW, WA 986322509

    Phone: (360) 353-5511

    Fax: (360) 353-5502

    Type: Mailing

  • 300 OAK ST STE B

    KELSO, WA 986262304

    Phone: (360) 353-5511

    Fax: (360) 353-5502

    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: 2024-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231013000563INurse PractitionerMNTBD
I20240801002444INurse PractitionerWATBD

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 98632)

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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: 5991696395View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
Nurse PractitionerWA
-WA
Nurse PractitionerOR
Family PracticeWA

Reviews

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Frequently asked questions

Does LISA MARIE OLSON (DNP, FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA MARIE OLSON (DNP, FNP) uses 1386321677.
Does the file indicate LISA MARIE OLSON (DNP, FNP) is practicing under active NPI?
Directory data currently reports LISA MARIE OLSON (DNP, FNP) as active.
What is LISA MARIE OLSON (DNP, FNP)'s specialty?
The listing groups LISA MARIE OLSON (DNP, FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LISA MARIE OLSON (DNP, FNP)?
LISA MARIE OLSON (DNP, FNP)'s geographic hint is Longview, Washington in our summary view.
Why does LISA MARIE OLSON (DNP, FNP) 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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