JOHN C OLSON (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1679512487
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 ADDICTION MEDICINE in WA
Provider Addresses for JOHN C OLSON (MD)
905 SPRUCE ST STE 300
SEATTLE, WA 981042474
Phone: (206) 548-3114
Fax: (206) 762-6355
Type: Mailing
1629 N 45th St
Seattle, WA 981036701
Phone: (206) 633-3350
Fax: (206) 633-3113
Type: Location
200 S 2nd St
Renton, WA 980572011
Phone: (425) 266-7039
Type: Location
1600 E OLIVE ST
SEATTLE, WA 981222735
Phone: (206) 901-2000
Type: Location
6400 SOUTHCENTER BLVD
TUKWILA, WA 981882547
Phone: (206) 901-2000
Type: Mailing
HealthPoint Community Health Center, 200, South 2nd Street, Renton, King County, Washington, 98057, United States
RENTON, WA 980572011
Phone: (425) 266-7039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-04-17
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 |
|---|---|---|---|---|
| I20040417000495 | I | Addiction Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98104)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 83036 | Hemoglobin A1C level | 29 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Nurse Practitioner | WA | |
| P S Y C H I A T R Y | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| - | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | WA | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.