CHRISTINA MARIE OLSON (FNP) – Family Nurse Practitioner, NPI 1104621630

CHRISTINA MARIE OLSON (FNP) is a healthcare provider. based in Waunakee, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 16508-33 (WI). The NPI Number for CHRISTINA MARIE OLSON (FNP) is 1104621630

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA MARIE OLSON (FNP)
NPI
1104621630
Phone
(608) 487-3021
Address
1904 MANCHESTER XING
Enumeration Date
18 February 2025
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
6083645566
Graduation Year
2024 (2 years ago)
PAC ID
2163948696
Group Practice PAC ID
3274561055
Professional Enrollment ID
I20250429000075
Address ID
WI535112230BE1969XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for CHRISTINA MARIE OLSON (FNP)

  • 1904 MANCHESTER XING

    WAUNAKEE, WI 535972000

    Phone: (608) 487-3021

    Type: Mailing

  • 1969 W HART RD

    BELOIT, WI 535112230

    Phone: (086) 364-5559

    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: 2025-04-29

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
I20250429000075INurse PractitionerWITBD

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 53597)

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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: 3274561055View full group profile
NameSpecialtyState
Emergency MedicineWI
Emergency MedicineWI
-WI
Emergency MedicineWI
Emergency MedicineIL
-WI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineFL

Reviews

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Frequently asked questions

What is the registry number for CHRISTINA MARIE OLSON (FNP)?
The registry entry for CHRISTINA MARIE OLSON (FNP) shows NPI 1104621630.
Does the public listing show CHRISTINA MARIE OLSON (FNP) as active?
CHRISTINA MARIE OLSON (FNP)'s NPI record reflects an active status in NPPES.
What type of care does CHRISTINA MARIE OLSON (FNP) provide?
CHRISTINA MARIE OLSON (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHRISTINA MARIE OLSON (FNP) tied to Waunakee, Wisconsin?
If you are local to Waunakee, Wisconsin, CHRISTINA MARIE OLSON (FNP) may be relevant to your search.
Who maintains CHRISTINA MARIE OLSON (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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