KELLY J OLSON (NP) – Family Nurse Practitioner, NPI 1104100718
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for KELLY J OLSON (NP)
1700 W STOUT ST
RICE LAKE, WI 548685000
Phone: (715) 236-8100
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($100).
Total Amount
$119
General + Research + Ownership
Payments
2
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Actelion Pharmaceuticals US, Inc. | $100 |
| Siemens Medical Solutions USA, Inc. | $19 |
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: 2011-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111013000355 | I | Nurse Practitioner | WI | 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 | 603 | 390 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 167 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 37 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 20 | 18 | $0 |
Insurance plans in this area (ZIP 54868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | WI | |
| - | CA | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | WI | |
| - | WI |
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