1. Home
  2. Directory
  3. California
  4. San Diego
  5. Nurse Practitioner
  6. NPI Profile

TAYLOR OLSON FNP-C
NPI 1124906664
Nurse Practitioner - Family in San Diego, CA

Active since August 22, 2025PECOS Enrolled
4020 WILLAMETTE AVE, SAN DIEGO, CA 92117(774) 573-0245 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Taylor Olson Fnp-c NPPES

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

TAYLOR OLSON FNP-C (NPI 1124906664) is an individual family provider in San Diego, California, licensed in California (95038236) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hopedale, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124906664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAYLOR OLSONCredential: FNP-C
Location Address4020 WILLAMETTE AVESan Diego, CA 92117-3857
Mailing Address165 Laurelwood DrHopedale, MA 01747-1954 · (774) 573-0245
Phone(774) 573-0245
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 22, 2025
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1124906664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95038236
Also ListedRegistered NurseTaxonomy 163W00000X · License 95249647 (CA)
4020 WILLAMETTE AVE, San Diego, CA 92117
Open in Google Maps ↗

Secondary Practice Location 1

Location 1165 Laurelwood DrHopedale, MA 01747-1954 · Phone (774) 573-0245

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Olson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921577560
PECOS Enrollment IDI20260513002192
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 Taylor Olson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Diego Cardiovascular Associates Medical Group Inc
15 mi
Cardiovascular Disease
320 SANTA FE DR, SUITE 204
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1427069103 (760) 944-7300

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 92117 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Taylor Olson's NPI number?

The NPI number for Taylor Olson is 1124906664. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Taylor Olson located?

Taylor Olson practices at 4020 Willamette Ave, San Diego, CA 92117. The listed phone number is (774) 573-0245.

What is Taylor Olson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Taylor Olson enrolled in Medicare?

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

Which organization bills Medicare for Taylor Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Olson reassigns Medicare benefits to San Diego Cardiovascular Associates Medical Group Inc (Encinitas, CA). 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 Taylor 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 Taylor Olson was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.