NICHOLAS EMERSON OLIN
NPI 1265069447
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since March 26, 2020PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-2674 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Mar 26, 2020 (2 updates tracked since 2020).

About Nicholas Emerson Olin NPPES

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

NICHOLAS EMERSON OLIN (NPI 1265069447) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265069447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS EMERSON OLIN
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address26520 Cactus AveMoreno Valley, CA 92555-3927 · (951) 486-4381
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1265069447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2160 S 1ST AVE, Maywood, IL 60153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas Emerson Olin 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.

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Nicholas Olin's NPI number?

The NPI number for Nicholas Olin is 1265069447. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Nicholas Olin located?

Nicholas Olin practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 327-2674.

What is Nicholas Olin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Olin enrolled in Medicare?

Yes. Nicholas Olin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Olin was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.