KENNETH OLSON MD
NPI 1336126275
Family Medicine in Minneapolis, MN

Q: What is Kenneth Olson's NPI number?

The NPI number for Kenneth Olson is 1336126275. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Kenneth Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Olson was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 30, 2005PECOS Enrolled

7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439(952) 283-3162(866) 991-7241 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2020, Apr 25, 2017 (2 updates tracked since 2017).

On this page

About Kenneth Olson Md NPPES

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

KENNETH OLSON MD (NPI 1336126275) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (22223) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336126275

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH OLSONCredential: MD

Location Address7801 E BUSH LAKE RD STE 400Minneapolis, MN 55439-3113

Mailing Address7801 E Bush Lake Rd Ste 400Minneapolis, MN 55439-3113 · (952) 283-3162 · Fax (866) 991-7241

Phone(952) 283-3162

Fax(866) 991-7241

Sole ProprietorNo

Enumeration DateDecember 30, 2005

Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration

✔ NPI 1336126275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 22223

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7801 E BUSH LAKE RD STE 400, Minneapolis, MN 55439

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Olson Md 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 Kenneth Olson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ltc Professionals, PLLC

Same address

Internal Medicine

7801 EAST BUSH LAKE RD, SUITE 400
Bloomington, MN 55439

Reassigned Medicare billing, Minnesota enrollment
19 clinicians in this Medicare group

NPI 1417251935 (952) 479-4261

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 55439 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier27 claims27 services$24.45 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier37 claims37 services$9.40 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$13.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BACHORIK NP

Nurse Practitioner