PHILLIP J OLSSON (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1881724508

PHILLIP J OLSSON (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Hospice and Palliative Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 036112835 (IL). The NPI Number for PHILLIP J OLSSON (MD) is 1881724508

Main info

Male
Name
PHILLIP J OLSSON (MD)
NPI
1881724508
Phone
(309) 676-8123
Address
200 E PENNSYLVANIA AVE
Enumeration Date
6 March 2007
Last Update Date
14 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for PHILLIP J OLSSON (MD)

  • 200 E PENNSYLVANIA AVE

    SUITE 212

    PEORIA, IL 616033089

    Phone: (309) 676-8123

    Fax: (309) 676-8455

    Type: Mailing

  • 200 SW FRAZIER CIR

    TOPEKA, KS 666062800

    Phone: (785) 232-2044

    Fax: (785) 232-5567

    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: 2020-07-02

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
I20200702002317IHospice/Palliative CareKSTBD

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

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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 61603)

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Reviews

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Frequently asked questions

Can I use this page to confirm PHILLIP J OLSSON (MD)'s NPI?
Yes. PHILLIP J OLSSON (MD) is listed with NPI 1881724508 in the public NPI dataset.
Is PHILLIP J OLSSON (MD) still practicing?
PHILLIP J OLSSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes PHILLIP J OLSSON (MD)?
For research purposes, treat PHILLIP J OLSSON (MD) as Hospice and Palliative Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does PHILLIP J OLSSON (MD) list a practice location?
Patients near Peoria, Illinois may find PHILLIP J OLSSON (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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