KENNETH DAVID OLSEN MD
NPI 1033179429
Internal Medicine in Minneapolis, MN

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 863-4000(763) 236-3026 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth David Olsen Md NPPES

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

KENNETH DAVID OLSEN MD (NPI 1033179429) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (37478) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of University Of Minnesota Medical School (1993).

NPPES Registry Identity

NPI1033179429
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH DAVID OLSENCredential: MD
Location Address2925 CHICAGO AVEMinneapolis, MN 55407-1321
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(763) 236-3026
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1033179429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 37478
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 1033179429 (MN)
2925 CHICAGO AVE, Minneapolis, MN 55407

Other Identifiers 1

Medicaid409525100MN

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

Kenneth David Olsen Md 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 ID547240541
PECOS Enrollment IDI20040721000802
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Family Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Nurse Practitioner (Acute Care)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Nurse Practitioner (Primary Care)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Counselor (Professional)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407

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 Kenneth Olsen's NPI number?

The NPI number for Kenneth Olsen is 1033179429. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Kenneth Olsen located?

Kenneth Olsen practices at 2925 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (612) 863-4000.

What is Kenneth Olsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Olsen enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Olsen affiliated with any hospitals?

According to CMS data, Kenneth Olsen is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Olsen was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.