Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA NIKOLE OLSON
NPI 1023908613
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since July 07, 2025PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(267) 566-1184 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Nikole Olson NPPES

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

SAMANTHA NIKOLE OLSON (NPI 1023908613) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023908613
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA NIKOLE OLSON
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (267) 566-1184
Sole ProprietorNo
Enumeration DateJuly 7, 2025
Last NPPES UpdateJune 27, 2026
NPPES CertifiedJune 27, 2026
NPI 1023908613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 E 17TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Nikole Olson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045

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 1023908613. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Samantha Olson located?

Samantha Olson practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (267) 566-1184.

What is Samantha Olson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Olson enrolled in Medicare?

Yes. Samantha Olson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Olson was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.