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DR. JEFFERY WILLIAM OLSEN D.C.
NPI 1023143567
Chiropractor in Bonney Lake, WA

Active since February 23, 2007Accepts Medicare Assignment
20119 S PRAIRIE RD E, BONNEY LAKE, WA 98391(253) 862-1555(253) 862-1557 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeffery William Olsen D.c. NPPES

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

DR. JEFFERY WILLIAM OLSEN D.C. (NPI 1023143567) is an individual chiropractor in Bonney Lake, Washington, licensed in Washington (CH00034055) and active in the NPI registry since February 2007. He is a graduate of Logan College Of Chiropractic (2001).

NPPES Registry Identity

NPI1023143567
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFERY WILLIAM OLSENCredential: D.C.
Location Address20119 S PRAIRIE RD EBonney Lake, WA 98391-7935
Mailing Address20119 S Prairie Rd EBonney Lake, WA 98391-7935 · (360) 440-2896
Phone(253) 862-1555
Fax(253) 862-1557
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2001
Enumeration DateFebruary 23, 2007
Last NPPES UpdateSeptember 7, 2017
✔ NPI 1023143567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034055
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
20119 S PRAIRIE RD E, Bonney Lake, WA 98391
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffery William Olsen D.c. 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 ID143263830
PECOS Enrollment IDI20050606000370

Medicare Billing Reassignments

2

Medicare enrollment records show Jeffery Olsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henschell Chiropractic, P.S.
0.1 mi
Chiropractor
19950 SOUTH PRAIRIE RD
Bonney Lake, WA 98391
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1255354296 (253) 862-1555
Thomas Wayne PLLC
22 mi
Chiropractor
15858 1ST AVENUE SOUTH, SUITE #A104
Burien, WA 98148
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1962694224 (206) 838-0022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

ALTA DAWNE MAHAN D.C.
Chiropractor
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555
SUMMER BLAKE LMT
Massage Therapist
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555
MICAYLA WEIDER DC
Chiropractor
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555
MR. MARTIN REGINALD HENSCHELL D.C.
Chiropractor
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555
LISA GRAY
Massage Therapist
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555
TINA MARBET LMP
Massage Therapist
20119 S PRAIRIE RD E
BONNEY LAKE, WA 98391
Pierce County (253) 862-1555

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 Jeffery Olsen's NPI number?

The NPI number for Jeffery Olsen is 1023143567. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Jeffery Olsen located?

Jeffery Olsen practices at 20119 S Prairie Rd E, Bonney Lake, WA 98391. The listed phone number is (253) 862-1555.

What is Jeffery Olsen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeffery Olsen enrolled in Medicare?

Yes. Jeffery Olsen 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.

Which organizations bill Medicare for Jeffery Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Olsen reassigns Medicare benefits to 2 organizations: Henschell Chiropractic, P.S. (Bonney Lake, WA) and Thomas Wayne PLLC (Burien, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffery Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffery Olsen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffery Olsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffery Olsen was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.