DR. SAMUEL OLSON MD
NPI 1093402125
Family Medicine in Saint Paul, MN
About Dr. Samuel Olson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL OLSON MD (NPI 1093402125) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (77981) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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. Samuel Olson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Olson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
ST. PAUL, MN 55106
ST. PAUL, MN 55106
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 Samuel Olson's NPI number?
The NPI number for Samuel Olson is 1093402125. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Sam Olson MD.
Where is Samuel Olson located?
Samuel Olson practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.
What is Samuel Olson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel Olson enrolled in Medicare?
Yes. Samuel Olson 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 Samuel Olson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Olson reassigns Medicare benefits to 2 organizations: Fairview Clinics (Saint Paul, MN) and Allina Health System (St Paul, MN). 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 Samuel Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Olson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Samuel Olson, MD · NPI 1093402125
Family Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1093402125 (Entity type: Individual)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 77981 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1414 MARYLAND AVE E, Saint Paul, MN 55106-2824
- **Phone:** (651) 772-3461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1124652557, Saint Paul, MN); Allina Health System (NPI 1053617795, St Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota, Duluth School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093402125) · Data from the CMS NPPES public registry.