SAMANTHA JO OLSON CNP
NPI 1013679042
Nurse Practitioner - Family in Roseau, MN

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment
715 DELMORE DR, ROSEAU, MN 56751(218) 463-2500 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Olson Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JO OLSON CNP (NPI 1013679042) is an individual family provider in Roseau, Minnesota, licensed in Minnesota (8481) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013679042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO OLSONCredential: CNP
Location Address715 DELMORE DRRoseau, MN 56751-1599
Mailing Address715 Delmore DrRoseau, MN 56751-1534 · (218) 463-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2021
NPPES CertifiedOctober 4, 2021
NPI 1013679042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 8481
715 DELMORE DR, Roseau, MN 56751

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Jo Olson Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739572264
PECOS Enrollment IDI20220207000157
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
715 DELMORE DR
ROSEAU, MN 56751
Social Worker (Clinical)
715 DELMORE DR
ROSEAU, MN 56751
Social Worker
715 DELMORE DR
ROSEAU, MN 56751
Emergency Medicine
715 DELMORE DR
ROSEAU, MN 56751
Emergency Medicine
715 DELMORE DR
ROSEAU, MN 56751
Public Health or Welfare
715 DELMORE DR
ROSEAU, MN 56751
Marriage & Family Therapist
715 DELMORE DR
ROSEAU, MN 56751
Physical Therapist
715 DELMORE DR
ROSEAU, MN 56751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Olson's NPI number?

The NPI number for Samantha Olson is 1013679042. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Samantha Olson located?

Samantha Olson practices at 715 Delmore Dr, Roseau, MN 56751. The listed phone number is (218) 463-2500.

What is Samantha Olson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Olson enrolled in Medicare?

Yes. Samantha Olson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Olson affiliated with any hospitals?

According to CMS data, Samantha Olson is affiliated with Lifecare Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Olson was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.