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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Koop Olsta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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 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)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 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.

Where is Jennifer Koop Olsta located?

Jennifer Koop Olsta practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 955-0660.

What is Jennifer Koop Olsta's specialty?

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

Is Jennifer Koop Olsta enrolled in Medicare?

Yes. Jennifer Koop Olsta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Koop Olsta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Koop Olsta reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The 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 Jennifer Koop Olsta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Koop Olsta accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Jennifer Koop Olsta 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 Jennifer Koop Olsta was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.