KIRK MYKEL OLSON (PA) – Medical Physician Assistant, NPI 1396753497

KIRK MYKEL OLSON (PA) is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1045705 (). The NPI Number for KIRK MYKEL OLSON (PA) is 1396753497

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
KIRK MYKEL OLSON (PA)
NPI
1396753497
Phone
(253) 477-5734
Address
9040 REID ST
Enumeration Date
4 August 2006
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
6082385826
Graduation Year
2006 (20 years ago)
PAC ID
2466719570
Group Practice PAC ID
5294053112
Professional Enrollment ID
I20171128001731
Address ID
WI537112468MA700XXDRXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for KIRK MYKEL OLSON (PA)

  • 9040 REID ST

    MADIGAN ARMY MEDICAL CENTER, MCHJ-CLQ-C

    JOINT BASE LEWIS MCCHORD, WA 984311100

    Phone: (253) 477-5734

    Fax: (253) 967-3687

    Type: Mailing

  • 700 RAYOVAC DR.

    #103

    MADISON, WI 537112479

    Phone: (608) 238-5826

    Fax: (608) 238-1221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,078.

Total Amount is formed as General ($2,078) + Research ($0) + Ownership ($0) = $2,078.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($547).

Total Amount

$2,078

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-11-28

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
I20171128001731IPhysician AssistantWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes7017$0
99214Established patient office or other outpatient visit, 30-39 minutes4113$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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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: 5294053112View full group profile
NameSpecialtyState
Clinical Social WorkerWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
P S Y C H I A T R YWI
Nurse PractitionerWI
P S Y C H I A T R YWI
Clinical PsychologistWI
Clinical Social WorkerWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I cross-check KIRK MYKEL OLSON (PA) using NPI 1396753497?
NPI 1396753497 belongs to KIRK MYKEL OLSON (PA); compare other details if you need extra assurance.
Is there an active status for KIRK MYKEL OLSON (PA)?
For scheduling context, KIRK MYKEL OLSON (PA) is shown as active in the registry.
What area of care is associated with KIRK MYKEL OLSON (PA)?
KIRK MYKEL OLSON (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Washington is KIRK MYKEL OLSON (PA) registered?
Use Joint Base Lewis Mcchord, Washington as the headline location for KIRK MYKEL OLSON (PA) here.
When was this NPI issued?
Enumeration for KIRK MYKEL OLSON (PA) is noted as August 4, 2006 where the registry provides it.

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