MS. JENNIFER I KOOP OLSTA PHD
NPI 1053362897
Clinical Neuropsychologist in Milwaukee, WI

Q: What is Jennifer Koop Olsta's NPI number?

The NPI number for Jennifer Koop Olsta is 1053362897. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Jennifer I Koop Phd.

Q: What is Jennifer Koop Olsta's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since May 15, 2006PECOS Enrolled

9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 955-0660(414) 955-0076 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Jennifer I Koop Olsta Phd NPPES

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

MS. JENNIFER I KOOP OLSTA PHD (NPI 1053362897) is an individual clinical neuropsychologist in Milwaukee, Wisconsin, licensed in Wisconsin (2558) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1053362897

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMS. JENNIFER I KOOP OLSTACredential: PHD

Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 955-0660 · Fax (414) 955-0076

Phone(414) 955-0660

Fax(414) 955-0076

Sole ProprietorNo

Enumeration DateMay 15, 2006

Last NPPES UpdateMay 2, 2024

NPPES CertifiedMay 2, 2024

✔ NPI 1053362897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in WI · 2558

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

9000 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Names 1

Former Name (1)Jennifer I Koop Phd

Secondary Practice Location 1

Location 19200 W Wisconsin Ave, Froedtert & Med College Clin - WestMilwaukee, WI 53226-3522 · Phone (414) 805-3666 · Fax (414) 805-5660

Other Identifiers 2

Medicaid39149800WI

Medicaid1053362897WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer I Koop Olsta Phd 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.

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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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)