SARA HAYNES OLSON (APRN) – Family Medicine Physician, NPI 1699443424

SARA HAYNES OLSON (APRN) is a healthcare provider. based in Shell lake, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11965 (WI). The NPI Number for SARA HAYNES OLSON (APRN) is 1699443424

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARA HAYNES OLSON (APRN)
NPI
1699443424
Phone
(715) 468-7833
Address
113 4TH AVE
Enumeration Date
7 September 2021
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
3971996844
Group Practice PAC ID
6406748839
Professional Enrollment ID
I20220616002146
Address ID
WI548714457SH113XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for SARA HAYNES OLSON (APRN)

  • 113 4TH AVE

    SHELL LAKE, WI 54871

    Phone: (715) 468-7833

    Fax: (715) 468-7839

    Type: Location

  • 732 8TH AVE

    TWO HARBORS, MN 556161312

    Phone: (218) 340-6525

    Type: Mailing

  • 4140 COUNTY ROAD 101 N

    PLYMOUTH, MN 554462308

    Phone: (763) 478-4612

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Dexcom, Inc. ($109).

Total Amount

$109

General + Research + Ownership

Payments

1

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$109
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: 2022-06-16

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
I20220616002146INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes18149$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes16156$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5220$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4732$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 54871)

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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: 6406748839View full group profile
NameSpecialtyState
General SurgeryFL
Nurse PractitionerWI
Nurse PractitionerWI
Infectious Disease, Internal MedicineMN
Family PracticeWI
General SurgeryIA
Family PracticeWI
Family PracticeWI

Reviews

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Frequently asked questions

How do payers reference SARA HAYNES OLSON (APRN)?
For SARA HAYNES OLSON (APRN), use NPI 1699443424 as the unique 10-digit identifier.
Is SARA HAYNES OLSON (APRN) shown as active in public data?
Registry records indicate SARA HAYNES OLSON (APRN) maintains an active NPI.
What clinical focus is listed for SARA HAYNES OLSON (APRN)?
At a glance, SARA HAYNES OLSON (APRN) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SARA HAYNES OLSON (APRN) associated with Shell Lake?
Public fields place SARA HAYNES OLSON (APRN) around Shell Lake, Wisconsin. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.